Provider Type Icon

BRIGHT LIGHT CENTER NPI 1215542170


NPI Information

NPI: 1215542170
Provider Name: BRIGHT LIGHT CENTER
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
9217 17TH AVE S STE 214
BLOOMINGTON, MN
ZIP 55425
Phone: (952) 228-3797
Get Directions

BRIGHT LIGHT CENTER is a developmental disabilities clinic center in Bloomington, MN. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). BRIGHT LIGHT CENTER NPI is 1215542170. The provider is registered as an organization entity type.

The provider's business location address is:

9217 17TH AVE S STE 214
BLOOMINGTON, MN
ZIP 55425-372
Phone: (952) 228-3797

The provider's authorized official is Salmo A Abdikarim .
The authorized official title is Ceo and has the following contact phone number (952) 228-3797.

The enumeration date for this NPI number is 9/8/2020 and was last updated on 9/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1252Y00000XEarly Intervention Provider AgencyNo
2261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.