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NORTH STAR CLUB, LLC
NPI 1609276724
Custodial Care Facility - Adult Care Home in Bloomington, MN

Active since August 26, 2014
8040 OLD CEDAR AVE S, BLOOMINGTON, MN 55425(952) 542-6219 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Star Club, Llc NPPES

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

NORTH STAR CLUB, LLC (NPI 1609276724) is a healthcare organization registered as an adult care home in Bloomington, Minnesota and active in the NPI registry since August 2014. The organization lists Jason Fischer, Manager, as its authorized official.

NPPES Registry Identity

NPI1609276724
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameNORTH STAR CLUB, LLC
Location Address8040 OLD CEDAR AVE SBloomington, MN 55425-1234
Mailing Address8040 Old Cedar Ave SBloomington, MN 55425-1234
Phone(952) 542-6219
Organization SubpartNo
Authorized OfficialJason FischerManager · (952) 426-6219
Enumeration DateAugust 26, 2014
✔ NPI 1609276724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in MN · 1066119
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
8040 OLD CEDAR AVE S, Bloomington, MN 55425
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Other Identifiers 1

Other1066119MN · License

Other Providers at the Same Location NPPES 2

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

MINNESOTA MULTICULTURAL CENTER FOR HEALTH
Clinic/Center
8040 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Hennepin County (651) 789-8022
RANDI GIBBS R.D., L.D.
Dietitian, Registered
8040 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Hennepin County (701) 741-0580

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 North Star Club, LLC's NPI number?

The NPI number for North Star Club, LLC is 1609276724. It was assigned to this organization in the NPPES registry on August 26, 2014.

Where is North Star Club, LLC located?

North Star Club, LLC is located at 8040 Old Cedar Ave S, Bloomington, MN 55425. The listed phone number is (952) 542-6219.

What is North Star Club, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for North Star Club, LLC was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.