Organization Active NPI

Light Within Home Health LLC

  • Home Health Agency
  • Kent, WA
National Provider Identifier
1437723053
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Hodan Farah Rage, BSN, RNNPI 1265127435
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)CodeLicenseStatePrimary
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 Doing business as
  • Light Within Home Health Agency LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 507313
Ownership
-
Certified
Jun 7, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2320887Light Within Home Health9921 S 228TH PL, Kent, WA 98031Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Jihan Rashid Individual 5% Or Greater Direct Ownership InterestAdministrator Jul 1, 2024 50%
Corporate DirectorAdministrator Jul 1, 2024 50%
W-2 Managing Employee Jul 1, 2024 50%
Hodan Rage Individual 5% Or Greater Direct Ownership InterestDirector of Clinical Services Jul 1, 2024 50%
Corporate DirectorDirector of Clinical Services Jul 1, 2024 50%
W-2 Managing EmployeeDirector of Clinical Services 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.

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

Verify at the official NPI Registry.