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PLEASANT LIGHT LLC
NPI 1073153664
Home Health in Burnsville, MN

Active since January 10, 2020CLIA 24D2314910 · Waiver
14501 GRAND AVE APT 529, BURNSVILLE, MN 55306(952) 406-8951(952) 229-4391 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Jan 10, 2020 (2 updates tracked since 2020).

About Pleasant Light Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLEASANT LIGHT LLC (NPI 1073153664) is a healthcare organization registered as a home health in Burnsville, Minnesota and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Josphat Nyambati Omari, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073153664
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePLEASANT LIGHT LLC
Location Address14501 GRAND AVE APT 529Burnsville, MN 55306-6604
Mailing Address14501 Grand Ave Apt 529Burnsville, MN 55306-6604 · (952) 406-8951 · Fax (952) 229-4391
Phone(952) 406-8951
Fax(952) 229-4391
Organization SubpartNo
Authorized OfficialJosphat Nyambati OmariAdministrator · (952) 406-8951
Enumeration DateJanuary 10, 2020
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1073153664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
14501 GRAND AVE APT 529, Burnsville, MN 55306
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2314910

Pleasant Light Assisted Living · Brooklyn Park, MN
Active · expires Dec 2, 2026
CLIA Number24D2314910
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorJosphat Omari
Laboratory Phone(952) 406-8951
Laboratory LocationPleasant Light Assisted Living7765 Daleview, Brooklyn Park, MN 55443
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pleasant Light LLC's NPI number?

The NPI number for Pleasant Light LLC is 1073153664. It was assigned to this organization in the NPPES registry on January 10, 2020.

Where is Pleasant Light LLC located?

Pleasant Light LLC is located at 14501 Grand Ave Apt 529, Burnsville, MN 55306. The listed phone number is (952) 406-8951.

What is Pleasant Light LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Pleasant Light LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2314910) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pleasant Light LLC was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.