Healthcare Provider Details

I. General information

NPI: 1689994675
Provider Name (Legal Business Name): GUIDING LIGHT HEALTH CENTER, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2010
Last Update Date: 06/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6211 BERINGER DR
WESTERVILLE OH
43082-8039
US

IV. Provider business mailing address

6211 BERINGER DR
WESTERVILLE OH
43082-8039
US

V. Phone/Fax

Practice location:
  • Phone: 614-286-9021
  • Fax: 614-891-4327
Mailing address:
  • Phone: 614-286-9021
  • Fax: 614-891-4327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. VINCENT L ROGERS
Title or Position: PRESIDENT/CEO
Credential: BSN, MBA
Phone: 614-286-9021