Organization
NORTHSTAR CARE CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADNO GATAH DNP (DIRECTOR)
(612) 232-8224
Entity
Organization
Contact information
Practice address
2911 26TH AVE S, MINNEAPOLIS, MN 55406-1555
(612) 232-8224
Mailing address
2911 26TH AVE S, MINNEAPOLIS, MN 55406-1555
(612) 232-8224
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/24/2022
Last updated
04/24/2026
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