Organization Active NPI

Bright Support Services LLC

  • In Home Supportive Care Agency
  • Minneapolis, MN
National Provider Identifier
1225847304
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BRIGHT SUPPORT SERVICES LLC
Practice address
322 W Lake St Ste 230
Minneapolis, MN 55408-5203
Phone
(612) 404-5226
NPI assigned
Jan 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Jawahir Ishaq Yusuf
Title
President
Phone
(612) 404-5226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

322 W Lake St Ste 230
Minneapolis, MN 55408-5203

Mailing address

322 W Lake St Ste 230
Minneapolis, MN 55408-5203

National Provider Directory

National Provider Directory

Locations

322 W Lake St
Ste 230
Minneapolis, MN 55408
Phone (612) 404-5226

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1225847304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W LAKE ST STE 230",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W LAKE ST STE 230",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085203",
            "telephone_number": "612-404-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "JAWAHIR",
        "authorized_official_middle_name": "ISHAQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-404-5226"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.