National Provider Identifier Database

ALL STAR ACADEMY ASA
Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.


Contact Information

ALL STAR ACADEMY (ASA)
11712 CARTIER AVE S
BURNSVILLE, MN55337-3227
Phone: 952-707-9684
Fax: 952-707-9684
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X
Case Management 251B00000X
Community/Behavioral Health 251S00000X
Early Intervention Provider Agency 252Y00000X
Home Health 251E00000X

* Indicates primary specialty

NPI Profile & details for ALL STAR ACADEMY (ASA)

NPI Number 1760810428
Legal business name
LBN
ALL STAR ACADEMY (ASA)
Authorized official KATE ONYENEHO - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 10/16/2013
Last updated 10/16/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 35664
  • MN License #: 365664
  • MN License #: S389194616120
  • MN Medicaid: 625

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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