Healthcare Provider Details

I. General information

NPI: 1144911934
Provider Name (Legal Business Name): BRIGHT VISION HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 COMMERCE DR STE 240
WOODBURY MN
55125-9248
US

IV. Provider business mailing address

670 COMMERCE DR STE 240
WOODBURY MN
55125-9248
US

V. Phone/Fax

Practice location:
  • Phone: 651-304-0541
  • Fax: 651-413-3680
Mailing address:
  • Phone: 651-304-0541
  • Fax: 651-413-3680

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SILAS WAINDIM
Title or Position: CEO
Credential:
Phone: 651-304-0541