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STAR SUPPORTIVE SERVICES, LLC.
NPI 1538988720
Community/Behavioral Health in Bloomington, MN

Active since October 07, 2024
4470 W 78TH STREET CIR, BLOOMINGTON, MN 55435(612) 446-5353 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Star Supportive Services, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAR SUPPORTIVE SERVICES, LLC. (NPI 1538988720) is a healthcare organization registered as a community/behavioral health in Bloomington, Minnesota and active in the NPI registry since October 2024. The organization lists Fardowso Isse, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1538988720
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSTAR SUPPORTIVE SERVICES, LLC.
Location Address4470 W 78TH STREET CIRBloomington, MN 55435-5408
Mailing Address4470 W 78th Street CirBloomington, MN 55435-5408 · (612) 446-5353
Phone(612) 446-5353
Organization SubpartNo
Authorized OfficialFardowso IsseCo-owner · (612) 703-5300
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 6, 2024
✔ NPI 1538988720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4470 W 78TH STREET CIR, Bloomington, MN 55435
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRAVE ABA
Clinic/Center (Adolescent and Children Mental Health)
4470 W 78TH STREET CIR
BLOOMINGTON, MN 55435
Hennepin County (507) 319-1718
MOUKTAR BOURALEH
Behavior Analyst
4470 W 78TH STREET CIR
BLOOMINGTON, MN 55435
Hennepin County (770) 713-7467
HOPE ARMHS L.L.C.
Clinic/Center (Adult Mental Health)
4470 W 78TH STREET CIR
BLOOMINGTON, MN 55435
Hennepin County (952) 688-2649
STAR THERAPY
Community/Behavioral Health
4470 W 78TH STREET CIR
BLOOMINGTON, MN 55435
Hennepin County (770) 713-7467
AWE THERAPY
Counselor (Mental Health)
4470 W 78TH STREET CIR
BLOOMINGTON, MN 55435
Hennepin County (612) 208-6204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Star Supportive Services, LLC.'s NPI number?

The NPI number for Star Supportive Services, LLC. is 1538988720. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is Star Supportive Services, LLC. located?

Star Supportive Services, LLC. is located at 4470 W 78th Street Cir, Bloomington, MN 55435. The listed phone number is (612) 446-5353.

What is Star Supportive Services, LLC.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Star Supportive Services, LLC. was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.