The Lifestar Group, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

5774308 Issued in MN

Legal business name

THE LIFESTAR GROUP, INC.

Doing business as

LifeStar Mobility

Practice address

2434 Commerce Blvd
Mound, MN 55364-1456

Phone

(952) 495-1120

NPI assigned

Sep 25, 2007

Last updated

Sep 25, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald Bauer

Title

Principal

Phone

(952) 495-1120

Specialties & licenses 1

Addresses

Other names 1

• LifeStar Mobility Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1841487782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 HIGHLAND BLVD",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553648540",
            "telephone_number": "952-495-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 COMMERCE BLVD",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553641456",
            "telephone_number": "952-495-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIFESTAR GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "952-495-1120"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "5774308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeStar Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Mound, MN
• Providers in Mound, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.