Active NPI
Summit Life Solutions
- Case Management Agency
- Bloomington, MN
National Provider Identifier
1265289086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SUMMIT LIFE SOLUTIONS
- Practice address
- 8609 Lyndale Ave S Ste 209C
Bloomington, MN 55420-2747 - Phone
- (952) 288-7478
- NPI assigned
- Apr 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nur Elmi
- Title
- Owner
- Phone
- (952) 288-7478
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
8609 Lyndale Ave S Ste 209C
Bloomington, MN 55420-2747
Mailing address
8609 Lyndale Ave S Ste 209C
Bloomington, MN 55420-2747
Phone (952) 288-7478
National Provider Directory
National Provider DirectoryLocations
8609 Lyndale Ave S
Ste 209C
Bloomington, MN 55420
Phone (952) 288-7478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745452800000",
"number": "1265289086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8609 LYNDALE AVE S STE 209C",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554202747",
"telephone_number": "952-288-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8609 LYNDALE AVE S STE 209C",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554202747",
"telephone_number": "952-288-7478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT LIFE SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-30",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A",
"authorized_official_last_name": "ELMI",
"authorized_official_first_name": "NUR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-288-7478"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.