Organization Active NPI

Guiding Light Rehab, Inc

  • Rehabilitation Clinic/Center
  • Spring Hill, FL
National Provider Identifier
1184647182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
2005-00552845 Issued in FL
Legal business name
GUIDING LIGHT REHAB, INC
Practice address
4422 Commercial Way
Spring Hill, FL 34606-1966
Phone
(352) 592-7647
Fax
(352) 596-3418
NPI assigned
Jul 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mario Anzalone
Title
President
Phone
(352) 592-7647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 2005-00552845 FL Primary

Addresses

Primary practice location

4422 Commercial Way
Spring Hill, FL 34606-1966

Mailing address

4422 Commercial Way
Spring Hill, FL 34606-1966
Phone (352) 592-7647

National Provider Directory

National Provider Directory

Locations

4422 Commercial Way
Spring Hill, FL 34606
Phone (352) 592-7647

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184647182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061966",
            "telephone_number": "352-592-7647",
            "fax_number": "352-596-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061966",
            "telephone_number": "352-592-7647",
            "fax_number": "352-596-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANZALONE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-592-7647"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "2005-00552845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.