Healthcare Provider Details

I. General information

NPI: 1316857154
Provider Name (Legal Business Name): PURE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7340 SCOT TER
EDEN PRAIRIE MN
55346-3225
US

IV. Provider business mailing address

7340 SCOT TER
EDEN PRAIRIE MN
55346-3225
US

V. Phone/Fax

Practice location:
  • Phone: 612-735-1448
  • Fax:
Mailing address:
  • Phone: 612-735-1448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ZAKRIYA ABDIAZIZ ABDIRAHMAN
Title or Position: CO OWNER
Credential:
Phone: 612-735-1448