Light Residential Service LLC – Registered Nurse, NPI 1043929664

Light Residential Service LLC is a healthcare provider. based in Gladstone, Oregon. specializing in Registered Nurse. The NPI Number for Light Residential Service LLC is 1043929664

Main info

Organization
Name
Light Residential Service LLC
NPI
1043929664
Phone
(301) 633-9649
Address
16730 BUCKINGHAM DR
Authorized Official
MULUSEW GETIE KEBTIE DIRECTOR RN, BSN, MSC
Enumeration Date
22 November 2022
Last Update Date
22 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness80
Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Light Residential Service LLC

  • 16730 BUCKINGHAM DR

    GLADSTONE, OR 970271044

    Phone: (301) 633-9649

    Fax: (503) 344-6669

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97027)

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Reviews

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Frequently asked questions

What number should I use to identify Light Residential Service LLC for billing?
Administrative and clinical systems typically use NPI 1043929664 for Light Residential Service LLC.
Is Light Residential Service LLC currently accepting referrals based on NPI status?
Registry metadata lists Light Residential Service LLC as active.
What services align with Light Residential Service LLC's listing?
Light Residential Service LLC's public classification highlights Registered Nurse. Clinical services aligned with this taxonomy classification.
What city is tied to Light Residential Service LLC?
The directory associates Light Residential Service LLC with Gladstone, Oregon. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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