SHINING LIGHT CARE LLC
NPI 1104618404
Case Management in Rogers, MN

Active since May 21, 2025
20270 MALLARD WAY, ROGERS, MN 55374(612) 701-2669 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shining Light Care Llc NPPES

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

SHINING LIGHT CARE LLC (NPI 1104618404) is a healthcare organization registered as a case management in Rogers, Minnesota and active in the NPI registry since May 2025. The organization lists Anita Nain Fondikum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104618404
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameSHINING LIGHT CARE LLC
Location Address20270 MALLARD WAYRogers, MN 55374-8716
Mailing Address20270 Mallard WayRogers, MN 55374-8716 · (612) 701-2669
Organization SubpartNo
Authorized OfficialAnita Nain FondikumCeo · (612) 701-2669
Enumeration DateMay 21, 2025
NPPES CertifiedMay 21, 2025
NPI 1104618404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
20270 MALLARD WAY, Rogers, MN 55374

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 Shining Light Care LLC's NPI number?

The NPI number for Shining Light Care LLC is 1104618404. It was assigned to this organization in the NPPES registry on May 21, 2025.

Where is Shining Light Care LLC located?

Shining Light Care LLC is located at 20270 Mallard Way, Rogers, MN 55374. The listed phone number is (612) 701-2669.

What is Shining Light Care LLC's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

When was this NPI record last updated?

The NPPES record for Shining Light Care LLC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.