OrganizationActive
Fresh Start Haven LLC
NPI 1588546527 · Clinic/Center · Minneapolis, MN
Fresh Start Haven LLC is a Clinic/Center organization in Minneapolis, MN (NPI 1588546527).
Provider details
- NPI number
- 1588546527
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samukeliso Demadema, Owner(312) 823-9296
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5504 41st Ave S
Minneapolis, MN 55417-2216
Phone: (312) 823-9296
Street-level locationGet directions
Mailing address
5504 41st Ave S
Minneapolis, MN 55417-2216
Registry dates
- Enumerated
- 2025-07-22
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Frequently asked questions
- What is Fresh Start Haven LLC's NPI number?
- Fresh Start Haven LLC's National Provider Identifier (NPI) is 1588546527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fresh Start Haven LLC?
- Fresh Start Haven LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fresh Start Haven LLC located?
- Fresh Start Haven LLC's practice location on file with NPPES is 5504 41st Ave S, Minneapolis, MN 55417-2216.
- What is Fresh Start Haven LLC's phone number?
- The practice phone number listed in the NPPES registry for Fresh Start Haven LLC is (312) 823-9296.
- Who is the authorized official for Fresh Start Haven LLC?
- The authorized official listed on Fresh Start Haven LLC's NPPES record is Samukeliso Demadema, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fresh Start Haven LLC's NPI active?
- Yes — Fresh Start Haven LLC's NPI (1588546527) is active in the NPPES registry as of the last update on 2025-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.