Living Light LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIVING LIGHT LLC

Practice address

2499 Rice St Ste 135
Roseville, MN 55113-3724

Phone

(763) 313-5113

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Yahya SharifNPI 1780381947

Title

Owner

Phone

(763) 313-5113

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yahya Sharif

  • Behavior Technician
  • Oakdale, MN
  • NPI 1780381947
  NPD Authorized official

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1871317248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 RICE ST STE 135",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 RICE ST STE 135",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133724",
            "telephone_number": "763-313-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "YAHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-313-5113"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Roseville, MN
• Providers in Roseville, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.