OrganizationActive
Shining Light Care LLC
NPI 1104618404 · Case Management Agency · Rogers, MN
Shining Light Care LLC is a Case Management Agency organization in Rogers, MN (NPI 1104618404).
Provider details
- NPI number
- 1104618404
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Anita Fondikum, Ceo(612) 701-2669
Specialties & taxonomies
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20270 Mallard Way
Rogers, MN 55374-8716
Phone: (612) 701-2669
Street-level locationGet directions
Mailing address
20270 Mallard Way
Rogers, MN 55374-8716
Registry dates
- Enumerated
- 2025-05-21
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Frequently asked questions
- What is Shining Light Care LLC's NPI number?
- Shining Light Care LLC's National Provider Identifier (NPI) is 1104618404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shining Light Care LLC?
- Shining Light Care LLC is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Shining Light Care LLC located?
- Shining Light Care LLC's practice location on file with NPPES is 20270 Mallard Way, Rogers, MN 55374-8716.
- What is Shining Light Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Shining Light Care LLC is (612) 701-2669.
- Who is the authorized official for Shining Light Care LLC?
- The authorized official listed on Shining Light Care LLC's NPPES record is Anita Fondikum, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shining Light Care LLC's NPI active?
- Yes — Shining Light Care LLC's NPI (1104618404) is active in the NPPES registry as of the last update on 2025-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.