Healthcare Provider Details

I. General information

NPI: 1891449377
Provider Name (Legal Business Name): A GUIDING LIGHT HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 02/04/2022
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 BORDER CT
YOUNGSVILLE LA
70592-6760
US

IV. Provider business mailing address

603 ROBERT ST
FRANKLIN LA
70538-3639
US

V. Phone/Fax

Practice location:
  • Phone: 337-849-3022
  • Fax:
Mailing address:
  • Phone: 337-849-3022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMEKIA BABINEAUX
Title or Position: MANAGER/ OWNER
Credential:
Phone: 337-849-3022