Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fresh Start Haven LLC

Organization Clinic/Center · NPI 1588546527

Fresh Start Haven LLC is a Clinic/Center in Minneapolis, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5504 41st Ave S
Minneapolis, MN 55417-2216
Phone: (312) 823-9296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1588546527
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samukeliso Demadema — Owner · (312) 823-9296
NPI enumeratedJuly 22, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address5504 41st Ave S, Minneapolis, MN 55417-2216

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