Organization Active NPI

Purestart Services LLC

  • Public Health or Welfare Agency
  • Minneapolis, MN
National Provider Identifier
1538947817
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PURESTART SERVICES LLC
Practice address
322 W Lake St Ste 227
Minneapolis, MN 55408-5203
Phone
(612) 991-4529
NPI assigned
Sep 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Tayasir O Farah Dahir
Title
Owner
Phone
(612) 991-4529

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

322 W Lake St Ste 227
Minneapolis, MN 55408-5203

Mailing address

322 W Lake St Ste 227
Minneapolis, MN 55408-5203
Phone (612) 991-4529

National Provider Directory

National Provider Directory

Locations

1710 Douglas Dr N
Ste 203C
Golden Valley, MN 55422

322 W Lake St
Ste 227
Minneapolis, MN 55408
Phone (612) 991-4529

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1538947817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W LAKE ST STE 227",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085203",
            "telephone_number": "612-991-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W LAKE ST STE 227",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085203",
            "telephone_number": "612-991-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURESTART SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "DAHIR",
        "authorized_official_first_name": "TAYASIR",
        "authorized_official_middle_name": "O FARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-991-4529"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "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 Jun 11, 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.