Organization Active NPI

Morningstar Care Services,LLC.

  • Substance Abuse Rehabilitation Facility
  • Blaine, MN
National Provider Identifier
1962067090
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MORNINGSTAR CARE SERVICES,LLC.
Practice address
11347 Eldorado St NE Unit D
Blaine, MN 55449-4552
Phone
(602) 679-0020
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Authorized official

Name
Mr. Basheir W Elmi
Title
Director
Phone
(602) 679-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

11347 Eldorado St NE Unit D
Blaine, MN 55449-4552

Mailing address

11347 Eldorado St NE Unit D
Blaine, MN 55449-4552
Phone (602) 679-0020

Other names 1

  • MorningStar Care Services LLC. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1962067090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11347 ELDORADO ST NE UNIT D",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494552",
            "telephone_number": "602-679-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11347 ELDORADO ST NE UNIT D",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494552",
            "telephone_number": "602-679-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSTAR CARE SERVICES,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "ELMI",
        "authorized_official_first_name": "BASHEIR",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-679-0020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MorningStar Care Services LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.