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SPECTRUM OF LIGHT INC
NPI 1679236293
Community/Behavioral Health in Bloomington, MN

Active since October 20, 2021
8051 33RD AVE S UNIT 274, BLOOMINGTON, MN 55425(763) 732-9476 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 24, 2024, Mar 7, 2024, Oct 23, 2021 (3 updates tracked since 2021).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Community/Behavioral Health

About SPECTRUM OF LIGHT INC

This page provides the complete NPI Profile along with additional information for Spectrum Of Light Inc, a provider established in Bloomington, Minnesota operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1679236293 assigned on October 2021. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Hamdi D Arale (Executive Director)

NPI
1679236293 Verify this NPI
Provider Name
SPECTRUM OF LIGHT INC
Entity Type
Organization
Location Address
8051 33RD AVE S UNIT 274 BLOOMINGTON, MN 55425
Location Phone
(763) 732-9476
Mailing Address
1325 AMERICAN BLVD E STE 5A BLOOMINGTON, MN 55425
Mailing Phone
(612) 323-0157
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2021
Last Update Date
06-24-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HAMDI D ARALE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(612) 401-1173

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Frequently Asked Questions

What is SPECTRUM OF LIGHT INC's NPI number?

The NPI number assigned to this healthcare provider is 1679236293, enumerated as an "organization" on October 20, 2021.

Where is the provider located?

The provider is located at 8051 33RD AVE S UNIT 274 BLOOMINGTON, MN 55425 and the phone number is (763) 732-9476.

What is the provider's specialty?

Community/Behavioral Health with taxonomy code 251S00000X.