CMS-1500 Box 24J / 33a • NPI
1760810428
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
347C00000X
Licensed & Credentialed Private Vehicle
Box 32 Service Location & ZIP+4
11712 CARTIER AVE S, BURNSVILLE, MN, 55337-3227
✓ 9-Digit EDI 837 ZIP+4 (55337-3227)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1760810428 (ALL STAR ACADEMY (ASA)) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1760810428 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALL STAR ACADEMY (ASA) |
| Plain-English Specialty | Licensed & Credentialed Private Vehicle NUCC Code: 347C00000X (Private Vehicle) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 11712 CARTIER AVE S, BURNSVILLE, MN, 55337-3227 |
| Practice Telephone / Fax | Tel: (952) 707-9684 | Fax: (952) 707-9684 |
| Administrative Mailing Address | 6000 BASS LAKE RD, CRYSTAL, MN, 55429-2700 |
| Enumeration & Last Sync | Enumerated: 2013-10-16 | CMS Record Updated: 2013-10-16 |
| Authorized Official | KATE ONYENEHO (President/CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (347C00000X)
What Does Taxonomy Code 347C00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 347C00000X translates to:
"Licensed & Credentialed Private Vehicle"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALL STAR ACADEMY (ASA))
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
251B00000X — Case ManagementPlain English: Licensed & Credentialed Case Management | State: MN | License: 365664 | Primary: Secondary |
251B00000X — Case ManagementPlain English: Licensed & Credentialed Case Management | State: MN | License: 35664 | Primary: Secondary |
251E00000X — Home HealthPlain English: CMS-Certified Home Health Care & Skilled Nursing Agency | State: MN | License: 35664 | Primary: Secondary |
251S00000X — Community/Behavioral HealthPlain English: Licensed & Credentialed Community/Behavioral Health | State: MN | License: 365664 | Primary: Secondary |
252Y00000X — Early Intervention Provider AgencyPlain English: Licensed & Credentialed Early Intervention Provider Agency | State: MN | License: 365664 | Primary: Secondary |
252Y00000X — Early Intervention Provider AgencyPlain English: Licensed & Credentialed Early Intervention Provider Agency | State: MN | License: 35664 | Primary: Secondary |
347C00000X — Private VehiclePlain English: Licensed & Credentialed Private Vehicle | State: MN | License: S389194616120 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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