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Light Residential Service LLC

Registered Nurse in Gladstone, OR · enumerated 2022 · authorized official Mulusew Kebtie, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043929664

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Registry record

Entity type Organization (Type 2)
Legal business name Light Residential Service LLC
Practice address 16730 Buckingham Dr, Gladstone, OR, 97027
Phone (301) 633-9649
Fax (503) 344-6669
Enumeration date Nov 22, 2022
Last updated in NPPES Nov 22, 2022

Taxonomy & classification

163W00000X Registered Nurse Nursing Service Providers Primary

Authorized official

Name Mulusew Kebtie
Title Director
Phone (301) 633-9649

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Light Residential Service LLC?
Light Residential Service LLC is registered in NPPES as a Registered Nurse (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-11-22.