Healthcare Provider Details

I. General information

NPI: 1124855218
Provider Name (Legal Business Name): BRIGHTSIDE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 CLIFF RD E STE 101
BURNSVILLE MN
55337-1540
US

IV. Provider business mailing address

601 CARLSON PKWY STE 1050
MINNETONKA MN
55305-5219
US

V. Phone/Fax

Practice location:
  • Phone: 651-374-8751
  • Fax:
Mailing address:
  • Phone: 651-374-8751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ABDIRAHMAN JAMA
Title or Position: DIRECTOR
Credential:
Phone: 651-374-8751