Healthcare Provider Details

I. General information

NPI: 1093834020
Provider Name (Legal Business Name): PURFOODS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3210 SE CORPORATE WOODS DR
ANKENY IA
50021-2502
US

IV. Provider business mailing address

3210 SE CORPORATE WOODS DR
ANKENY IA
50021-7405
US

V. Phone/Fax

Practice location:
  • Phone: 515-963-0641
  • Fax: 515-266-6120
Mailing address:
  • Phone: 515-963-0641
  • Fax: 515-266-6120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number0196501
License Number StateIA

VIII. Authorized Official

Name: NATHAN J JENSEN
Title or Position: SVP SALES & BUSINESS ENABLEMENT
Credential:
Phone: 515-202-6109