Northstar Residential Care Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NORTHSTAR RESIDENTIAL CARE INC.

Practice address

1217 88TH Ave N
Brooklyn Park, MN 55444-1326

Phone

(763) 439-1797

NPI assigned

Sep 2, 2025

Organization subpart

No

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

Authorized official

Name

Gemachu Rabu

Title

Co-Owner

Phone

(763) 439-1797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1912886938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 88TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 88TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441326",
            "telephone_number": "763-439-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR RESIDENTIAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "RABU",
        "authorized_official_first_name": "GEMACHU",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "763-439-1797"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.