NPIMap

Organization Active NPI

Bright Stars Support Center

  • Clinic/Center
  • Burnsville, MN
National Provider Identifier
1922896422
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BRIGHT STARS SUPPORT CENTER
Practice address
800 Evergreen Dr Apt 101
Burnsville, MN 55337-4667
Phone
(763) 415-2568
NPI assigned
Apr 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Authorized official

Name
Ismail Haji
Title
Owner
Phone
(763) 415-2568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

800 Evergreen Dr Apt 101
Burnsville, MN 55337-4667

Mailing address

800 Evergreen Dr Apt 101
Burnsville, MN 55337-4667
Phone (763) 415-2568

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745625600000",
    "number": "1922896422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EVERGREEN DR APT 101",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374667",
            "telephone_number": "763-415-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EVERGREEN DR APT 101",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374667",
            "telephone_number": "763-415-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT STARS SUPPORT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "HAJI",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-415-2568"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.