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General NPI Number Information
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NPI Number | 1801681861
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Entity Type | Organization
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Legal Business Name | GUIDING LIGHT HOME CARE, LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 12021 PARKSIDE VISTA LN
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City | LOUISVILLE
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State | KY
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Zip | 40229-6517
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Country | US
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Telephone | 502-671-5565
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Fax |
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Provider Business Mailing Address
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Address Line | 12021 PARKSIDE VISTA LN
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City | LOUISVILLE
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State | KY
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Zip | 40229-6517
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Country | US
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Telephone | 502-671-5565
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AJI NDUMBEH MBYE
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Credential |
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Telephone | 347-301-2734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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