NPIMap

Organization Active NPI

Guiding Light Hospice LLC

  • Community Based Hospice Care Agency
  • Serena, IL
National Provider Identifier
1033354980
Registry record updated Dec 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
APPLIED FOR Issued in IL
Legal business name
GUIDING LIGHT HOSPICE LLC
Practice address
2285 US Route 52 # 124
Serena, IL 60549-5105
Phone
(815) 830-7499
NPI assigned
Dec 6, 2008
Last updated
Dec 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Karen Wilson, RN
Title
Owner/Administrator
Phone
(815) 830-7499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X APPLIED FOR IL Primary

Addresses

Primary practice location

2285 US Route 52 # 124
Serena, IL 60549-5105

Mailing address

2285 US Route 52
PO Box 124
Serena, IL 60549-5105
Phone (815) 830-7499

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228521600000",
    "number": "1033354980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 US ROUTE 52",
            "address_2": "PO BOX 124",
            "city": "SERENA",
            "state": "IL",
            "postal_code": "605495105",
            "telephone_number": "815-830-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 US ROUTE 52 # 124",
            "city": "SERENA",
            "state": "IL",
            "postal_code": "605495105",
            "telephone_number": "815-830-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-06",
        "last_updated": "2008-12-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "815-830-7499",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Serena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.