Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BRIKISA'S SPARK ASSISTED LIVING LLC
Active
Organization
BRIKISA'S SPARK ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALKISA BANGURA (C-OWNER)
(612) 433-0925
Entity
Organization
Contact information
Practice address
3908 SUNSET RD N, BROOKLYN PARK, MN 55443-1221
(712) 204-3721
Mailing address
5445 JACKSON DR APT 101, SAINT PAUL, MN 55112-1460
(612) 433-0925
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up