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NPI Code Detail

MEDICARE: NORTHSTAR CARE CONNECTIONS

MEDICARE: NORTHSTAR CARE CONNECTIONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2163WC0400XCase Management Registered Nurse
3253Z00000XIn Home Supportive Care Agency
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
5261QM0855XAdolescent and Children Mental Health Clinic/Center
6251B00000XCase Management Agency

General Provider Information

NPI Number : 1144947821
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHSTAR CARE CONNECTIONS
Provider Business Mailing Address
First Line : 2911 26TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-1555
Country : US
Telephone Number : 612-232-8224
Fax Number :
Provider Business Practice Location Address
First Line : 2911 26TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-1555
Country : US
Telephone Number : 612-232-8224
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : ADNO GATAH
Credential : DNP
Telephone Number : 612-232-8224
Provider Enumeration Date : 10/24/2022
Last Update Date : 04/24/2026

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Directions to “NORTHSTAR CARE CONNECTIONS ” Practice Location

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