| Healthstar Home Health | |
|
2586 7th Ave E Suite 302 North St Paul MN 55109-3083 | |
| (651) 633-7300 | |
| (651) 633-7301 |
| Full Name | Healthstar Home Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2586 7th Ave E, North St Paul, Minnesota |
| Authorized Official Name and Position | Tim Lively (PRESIDENT) |
| Authorized Official Contact | 6516337300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthstar Home Health 2586 7th Ave E Suite 302 North St Paul MN 55109-3083 Ph: (651) 633-7300 | Healthstar Home Health 2586 7th Ave E Suite 302 North St Paul MN 55109-3083 Ph: (651) 633-7300 |
| NPI Number | 1659819308 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 04/02/2021 |
| Certification Date | 04/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659819308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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