Organization Active NPI

Pure Social Services LLC

  • In Home Supportive Care Agency
  • Burnsville, MN
National Provider Identifier
1811712706
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PURE SOCIAL SERVICES LLC
Practice address
14591 Grand Ave
Burnsville, MN 55306-5725
Phone
(612) 242-5998
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2025

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

Authorized official

Name
Abdifitah Mohamed
Title
Owner
Phone
(612) 242-5998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

14591 Grand Ave
Burnsville, MN 55306-5725

Mailing address

14591 Grand Ave
Burnsville, MN 55306-5725
Phone (218) 812-9992

National Provider Directory

National Provider Directory

Locations

14591 Grand Ave
Burnsville, MN 55306
Phone (507) 573-2919

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739664000000",
    "number": "1811712706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14591 GRAND AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065725",
            "telephone_number": "218-812-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14591 GRAND AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065725",
            "telephone_number": "612-242-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE SOCIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDIFITAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-242-5998"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.