Organization Active NPI

Hope Light LLC

  • Clinic/Center
  • Coon Rapids, MN
National Provider Identifier
1598452625
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOPE LIGHT LLC
Practice address
11835 Avocet Cir NW
Coon Rapids, MN 55448-2007
Phone
(612) 223-3779
NPI assigned
Apr 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Yemane Mebrahtu
Title
Owner
Phone
(612) 223-3779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

11835 Avocet Cir NW
Coon Rapids, MN 55448-2007

Mailing address

11835 Avocet Cir NW
Coon Rapids, MN 55448-2007

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1598452625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 AVOCET CIR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 AVOCET CIR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482007",
            "telephone_number": "612-223-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE LIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "MEBRAHTU",
        "authorized_official_first_name": "YEMANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-223-3779"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.