# BRIGHT STAR COMMUNITY SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700764982
- **Authorized official:** FARDOSA Y HUSSEIN (OWNER)
- **Authorized official phone:** (952) 221-8515

## Contact information

- **Practice address:** 14735 105TH PL N, MAPLE GROVE, MN 55369
- **Practice address phone:** (952) 221-8515
- **Mailing address:** 14735 105TH PL N, MAPLE GROVE, MN 55369
- **Mailing address phone:** (952) 221-8515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2025
- **Last updated:** 08/25/2025