Organization Active NPI

Growthpath LLC

  • Early Intervention Provider Agency
  • Minneapolis, MN
National Provider Identifier
1194606632
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
GROWTHPATH LLC
Practice address
515 15TH Ave S Unit 222
Minneapolis, MN 55454-1428
Phone
(651) 440-5588
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Khadar FarahNPI 1023691193
Title
Owner/Provider
Phone
(651) 440-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

515 15TH Ave S Unit 222
Minneapolis, MN 55454-1428

Mailing address

515 15TH Ave S Unit 222
Minneapolis, MN 55454-1428
Phone (651) 440-5588

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1194606632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 15TH AVE S UNIT 222",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541428",
            "telephone_number": "651-440-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 15TH AVE S UNIT 222",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541428",
            "telephone_number": "651-440-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTHPATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "KHADAR",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "651-440-5588"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.