BRIGHT SIDE COMMUNITY LIVING LLC
NPI 1679373500
Assisted Living Facility in Bloomington, MN

Active since March 18, 2025CLIA 24D2330406 · Waiver
10113 PORTLAND AVE S, BLOOMINGTON, MN 55420(617) 596-1210 Get Directions Write a Review

NPPES record last updated: July 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bright Side Community Living Llc NPPES

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

BRIGHT SIDE COMMUNITY LIVING LLC (NPI 1679373500) is a healthcare organization registered as an assisted living facility in Bloomington, Minnesota and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Abdirahman Adam Abdi, Director, as its authorized official.

NPPES Registry Identity

NPI1679373500
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRIGHT SIDE COMMUNITY LIVING LLC
Location Address10113 PORTLAND AVE SBloomington, MN 55420-5050
Mailing Address10113 Portland Ave SBloomington, MN 55420-5050 · (617) 596-1210
Organization SubpartNo
Authorized OfficialAbdirahman Adam AbdiDirector · (617) 596-1210
Enumeration DateMarch 18, 2025
Last NPPES UpdateJuly 20, 2025
NPPES CertifiedJuly 20, 2025
NPI 1679373500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedRespite CareTaxonomy 385H00000X
10113 PORTLAND AVE S, Bloomington, MN 55420

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 24D2330406

Bright Side Community Living · Minneapolis, MN
Active · expires Sep 15, 2027
CLIA Number24D2330406
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorAbdirahman Abdi
Laboratory Phone(617) 596-1210
Laboratory LocationBright Side Community Living10113 Portland Ave S, Minneapolis, MN 55420
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
10113 PORTLAND AVE S
MINNEAPOLIS, MN 55420

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 Bright Side Community Living LLC's NPI number?

The NPI number for Bright Side Community Living LLC is 1679373500. It was assigned to this organization in the NPPES registry on March 18, 2025.

Where is Bright Side Community Living LLC located?

Bright Side Community Living LLC is located at 10113 Portland Ave S, Bloomington, MN 55420. The listed phone number is (617) 596-1210.

What is Bright Side Community Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Bright Side Community Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2330406) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bright Side Community Living LLC was last updated on July 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.