Organization Active NPI

Summit Life Solutions

  • Case Management Agency
  • Bloomington, MN
National Provider Identifier
1265289086
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Apr 24, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.