Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bright Lake Care LLC

Organization Early Intervention Provider Agency · NPI 1760203517

Bright Lake Care LLC is an Early Intervention Provider Agency in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3845 Hiawatha Ave Apt 509
Minneapolis, MN 55406-4454
Phone: (612) 800-4209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1760203517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tariq Ali — Owner · (612) 800-4209
Other names Bright Lake Care; Bright Lake Care
NPI enumeratedOctober 23, 2024
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address3845 Hiawatha Ave Apt 509, Minneapolis, MN 55406-4454

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