BRIGHT LIGHT CENTER – NPI #1215542170
Clinic/Center

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

BRIGHT LIGHT CENTER is an AHC clinic located in BLOOMINGTON, MN. NPPES has assigned the NPI number 1215542170 to BRIGHT LIGHT CENTER on September 08, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities

The NPI profile was previously updated about 6 years ago on Sep 09, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIGHT LIGHT CENTER below.

NPI Profile for
BRIGHT LIGHT CENTER

NPI Number
1215542170
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRIGHT LIGHT CENTER
Primary location
9217 17TH AVE S STE 214
BLOOMINGTON, MN 55425-2372
Phone: (952) 228-3797 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SALMO ABDIKARIM
CEO
Phone: (952) 228-3797
Updated
Certification Date
Sep 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD1600X
- Clinic/Center / Developmental Disabilities (Primary)
252Y00000X
- Early Intervention Provider Agency

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.