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North Star Club, LLC

Adult Care Home Facility in Bloomington, MN · enumerated 2014 · authorized official Jason Fischer, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609276724

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Registry record

Entity type Organization (Type 2)
Legal business name North Star Club, LLC
Practice address 8040 Old Cedar Ave S, Bloomington, MN, 55425
Phone (952) 542-6219
Enumeration date Aug 26, 2014
Last updated in NPPES Aug 26, 2014

Taxonomy & classification

311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities · License 1066119 (MN) Primary

Authorized official

Name Jason Fischer
Title Manager
Phone (952) 426-6219

Other identifiers

Identifier Type State Issuer
1066119 Other MN LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is North Star Club, LLC?
North Star Club, LLC is registered in NPPES as a Adult Care Home Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-26.