Mustafa Farah, (LALD)

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

1737 Issued in MN

Practice address

3234 Dupont Ave N
Minneapolis, MN 55412-2510

Phone

(612) 836-9799

Fax

(612) 448-0097

NPI assigned

Jul 30, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bliss Home Healthcare

  • In Home Supportive Care Agency
  • Minneapolis, MN
  • NPI 1407730062

  Home Health Aide

  NPD Authorized official
• Serenity Group Homes LLC

  • Assisted Living Facility
  • Minneapolis, MN
  • NPI 1922984624

  Nursing Home Administrator

  NPD Authorized official

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1659254274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 STEVENS AVE APT 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033870",
            "telephone_number": "612-836-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 DUPONT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122510",
            "telephone_number": "612-836-9799",
            "fax_number": "612-448-0097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5367 Minnehaha Ave Apt 116",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554172383",
            "country_code": "US",
            "telephone_number": "612-836-9799",
            "fax_number": "612-448-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAH",
        "first_name": "MUSTAFA",
        "credential": "(LALD)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "1737",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "MN",
            "license": "1737",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MN",
            "license": "1737",
            "primary": false
        },
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "MN",
            "license": "1737",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BOARD OF EXECUTIVES FOR LONG-TERM SERVICES AND SUPPORTS",
            "identifier": "1737",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryan Abdirahman Farah
• Maryan Mahamud Farah
• Mohamed Farah, FNP-BC
• Mohamud Hassan Farah
• Mowlid Farah
• Najma Nuur Farah
• Najran W Farah
• Nawal Farah
• Nazih N Farah, MD
• Rahma Ahmed Farah

• Nursing Home Administrator in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Nursing Home Administrator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.