Active NPI
Light Within Home Health LLC
- Home Health Agency
- Kent, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIGHT WITHIN HOME HEALTH LLC
- Doing business as
- Light within Home Health
- Practice address
- 9921 S 228TH PL
Kent, WA 98031-2559 - Phone
- (206) 861-3232
- NPI assigned
- May 18, 2021
- 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
- Hodan Farah Rage, BSN, RN
- Title
- Director
- Phone
- (206) 861-3232
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
9921 S 228TH PL
Kent, WA 98031-2559
Mailing address
9921 S 228TH PL
Kent, WA 98031-2559
Phone (612) 978-2495
Other names 2
- Light within Home Health
- Light Within Home Health Agency LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250226002421 | WA | Part A Provider - Home Health Agency | 0547634206 | Practice locations: Kent, WA |
Home health agency certification: CCN 507313
- Legal name
- LIGHT WITHIN HOME HEALTH LLC
- Doing business as
- LIGHT WITHIN HOME HEALTH AGENCY LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 7, 2025
- Last certification
- May 22, 2025
- Organization structure
- LLC
- Incorporated
- Jul 21, 2020 in WA
- Enrollment address
- 9921 S 228TH PL
Kent, WA 98031-2559
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Light Within Home Health Agency LLC
- Ownership
- -
- Certified
- Jun 7, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2320887 | Light Within Home Health | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jihan Rashid | 5% Or Greater Direct Ownership Interest | Jul 1, 2024 | 50% |
| Corporate Director | Jul 1, 2024 | 50% | |
| W-2 Managing Employee | Jul 1, 2024 | 50% | |
| Hodan Rage | 5% Or Greater Direct Ownership Interest | Jul 1, 2024 | 50% |
| Corporate Director | Jul 1, 2024 | 50% | |
| W-2 Managing Employee | Jul 1, 2024 | 50% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Registered Nurse
- Kent, WA
- NPI 1265127435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1437723053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9921 S 228TH PL",
"city": "KENT",
"state": "WA",
"postal_code": "980312559",
"telephone_number": "612-978-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9921 S 228TH PL",
"city": "KENT",
"state": "WA",
"postal_code": "980312559",
"telephone_number": "206-861-3232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHT WITHIN HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-18",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "RAGE",
"authorized_official_first_name": "HODAN",
"authorized_official_middle_name": "FARAH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "206-861-3232",
"authorized_official_credential": "BSN, RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Light within Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Light Within Home Health Agency LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.