Organization Active NPI

Pure Balances Services LLC

  • Home Health Agency
  • Robbinsdale, MN
National Provider Identifier
1841020328
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PURE BALANCES SERVICES LLC
Practice address
4101 Parker GRN
Robbinsdale, MN 55422-1746
Phone
(612) 483-7524
NPI assigned
Aug 7, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Abdullahi Abukar Jama
Title
Owner
Phone
(612) 483-7524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4101 Parker GRN
Robbinsdale, MN 55422-1746

Mailing address

6820 12TH Ave
Richfield, MN 55423
Phone (612) 483-7524

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1841020328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 12TH AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "55423",
            "telephone_number": "612-483-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 PARKER GRN",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221746",
            "telephone_number": "612-483-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE BALANCES SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_middle_name": "ABUKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-483-7524"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.