Organization Active NPI

Three Stars Group Homes LLC

  • Assisted Living Facility
  • Saint Paul, MN
National Provider Identifier
1992337893
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Feb 8, 2020

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2179517Three Stars Group Homes LLC630 Virginia Street, Saint Paul, MN 55103Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.