Organization Active NPI

Green Light Housing Stability LLC

  • Case Manager/Care Coordinator
  • Brooklyn Center, MN
National Provider Identifier
1437853983
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
GREEN LIGHT HOUSING STABILITY LLC
Practice address
3613 54TH Ave N
Brooklyn Center, MN 55429-3305
Phone
(763) 222-4909
NPI assigned
Mar 29, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Stephen Zekpa
Title
Owner
Phone
(763) 222-4909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

3613 54TH Ave N
Brooklyn Center, MN 55429-3305

Mailing address

3613 54TH Ave N
Brooklyn Center, MN 55429-3305
Phone (763) 222-4909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1437853983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 54TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293305",
            "telephone_number": "763-222-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 54TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293305",
            "telephone_number": "763-222-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LIGHT HOUSING STABILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "ZEKPA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-222-4909"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.