Pleasant Light LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PLEASANT LIGHT LLC

Practice address

14501 Grand Ave Apt 529
Burnsville, MN 55306-6604

Phone

(952) 406-8951

Fax

(952) 229-4391

NPI assigned

Jan 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Josphat Nyambati Omari, REGISTERED NURSE

Title

Administrator

Phone

(952) 406-8951

Specialties & licenses 1

Addresses

Tax ID family

Pleasant Light LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pleasant Light LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Brooklyn Park, MN
  • NPI 1366208704
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pleasant Light LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Brooklyn Park, MN
  • NPI 1366208704
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1073153664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 GRAND AVE APT 529",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066604",
            "telephone_number": "952-406-8951",
            "fax_number": "952-229-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 GRAND AVE APT 529",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066604",
            "telephone_number": "952-406-8951",
            "fax_number": "952-229-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT LIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "OMARI",
        "authorized_official_first_name": "JOSPHAT",
        "authorized_official_middle_name": "NYAMBATI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "952-406-8951",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.