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NPI Code Detail

MEDICARE: ALL STAR CARE

MEDICARE: ALL STAR CARE
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1932043189
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL STAR CARE
Provider Business Mailing Address
First Line : 3200 MAIN ST NW STE 235
Second Line :
City : COON RAPIDS
State : MN
Zip : 55448-1104
Country : US
Telephone Number : 612-600-7411
Fax Number : 612-460-9877
Provider Business Practice Location Address
First Line : 3200 MAIN ST NW STE 235
Second Line :
City : COON RAPIDS
State : MN
Zip : 55448-1104
Country : US
Telephone Number : 612-600-6967
Fax Number : 612-460-9877
Authorized Official
Title or Position : MANAGER
Name : HERSI ADAM
Credential :
Telephone Number : 612-600-6967
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ALL STAR CARE ” Practice Location

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