Active NPI
Three Stars Group Homes LLC
- Assisted Living Facility
- Saint Paul, MN
National Provider Identifier
1992337893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- THREE STARS GROUP HOMES LLC
- Practice address
- 630 Virginia St
Saint Paul, MN 55103-1757 - Phone
- (651) 468-4729
- NPI assigned
- Feb 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debesay Girmalul
- Title
- Owner/Manager
- Phone
- (651) 207-6588
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Assisted Living Facility | 310400000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
630 Virginia St
Saint Paul, MN 55103-1757
Mailing address
630 Virginia St
Saint Paul, MN 55103-1757
Phone (651) 468-4729
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2179517 | Three Stars Group Homes LLC | Certificate of waiver | Feb 24, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581120000000",
"number": "1992337893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 VIRGINIA ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551031757",
"telephone_number": "651-468-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 VIRGINIA ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551031757",
"telephone_number": "651-468-4729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE STARS GROUP HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-08",
"last_updated": "2020-02-08",
"certification_date": "2020-02-08",
"status": "A",
"authorized_official_last_name": "GIRMALUL",
"authorized_official_first_name": "DEBESAY",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "651-207-6588"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.