First Light Residential Care Llc

LBN: First Light Residential Care Llc
First Light Residential Care Llc is an health care organization with primary practice located at 2935 Aquila Ave S , St Louis Park MN 55426-2953. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Suppliers / Durable Medical Equipment & Medical Supplies, Transportation Services / Non-emergency Medical Transport (VAN). Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. First Light Residential Care Llc can be contacted via phone (612) 404-7552, or through Mohamed, Sofia H via phone (612) 404-7552.

Contact Information

Primary practice address
2935 Aquila Ave S St Louis Park MN 55426-2953
Phone: (612) 404-7552
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mohamed, Sofia H
Phone: (612) 404-7552

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1386297547
LBN Legal business name First Light Residential Care Llc
DBA Doing business as
Authorized official Mohamed, Sofia H
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2019
Last updated Jul 17th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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