Organization Active NPI

New Light Services Inc

  • Community/Behavioral Health Agency
  • Saint Cloud, MN
National Provider Identifier
1245026145
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW LIGHT SERVICES INC
Practice address
3026 15TH Ave S
Saint Cloud, MN 56301-5688
Phone
(424) 313-4938
NPI assigned
Apr 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Mr. Khalid Mohamud
Title
Ceo
Phone
(424) 313-4938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3026 15TH Ave S
Saint Cloud, MN 56301-5688

Mailing address

8075 Eden Prairie Rd Apt 245
Eden Prairie, MN 55347-3303
Phone (424) 313-4938

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1245026145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 EDEN PRAIRIE RD APT 245",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553473303",
            "telephone_number": "424-313-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 15TH AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015688",
            "telephone_number": "424-313-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIGHT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-313-4938",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.