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

First Light Residential Care LLC

Organization Home Health Agency · NPI 1386297547

First Light Residential Care LLC is a Home Health Agency in St Louis Park, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
5
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

2935 Aquila Ave S
St Louis Park, MN 55426-2953
Phone: (612) 404-7552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Home Health Agency Taxonomy 251E00000X
Nursing Care Agency Taxonomy 251J00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1386297547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sofia Mohamed — Owner · (612) 404-7552
NPI enumeratedJuly 17, 2019
Last updated in NPPESJuly 17, 2019
Mailing address2935 Aquila Ave S, St Louis Park, MN 55426-2953

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