Organization Active NPI

Light Health Solutions LLC

  • Private Vehicle
  • Colorado Springs, CO
National Provider Identifier
1497342307
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
LIGHT HEALTH SOLUTIONS LLC
Doing business as
Light Ride
Practice address
685 Citadel Dr E Ste 290-15
Colorado Springs, CO 80909-5314
Phone
(719) 785-1717
Fax
(719) 785-2111
NPI assigned
Dec 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Mikiyas Tesfaye EngdashetNPI 1053916437
Title
Owner
Phone
(303) 668-6807

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
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

685 Citadel Dr E Ste 290-15
Colorado Springs, CO 80909-5314

Mailing address

1117 Affirmed VW # 5-103
Colorado Springs, CO 80921-4283
Phone (303) 668-6807

Other names 1

  • Light Ride Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Light Health Solutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

685 Citadel Dr E
Ste 29015
Colorado Springs, CO 80909
Phone (719) 785-1717

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1608940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1497342307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 AFFIRMED VW # 5-103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214283",
            "telephone_number": "303-668-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 290-15",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095314",
            "telephone_number": "719-785-1717",
            "fax_number": "719-785-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-26",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "ENGDASHET",
        "authorized_official_first_name": "MIKIYAS",
        "authorized_official_middle_name": "TESFAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-668-6807"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Light Ride",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.