Active NPI
Guiding Light Home Care LLC
- Clinical Medical Laboratory
- Garden City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- GUIDING LIGHT HOME CARE LLC
- Practice address
- 29217 Ford Rd Ste 115
Garden City, MI 48135-2890 - Phone
- (734) 956-6327
- Fax
- (734) 956-6362
- NPI assigned
- Feb 11, 2022
- Organization subpart
- Yes
- Parent organization
- GUIDING LIGHT HOME CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roxane Eskridge-Garner
- Title
- Ceo
- Phone
- (734) 833-8979
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
29217 Ford Rd Ste 115
Garden City, MI 48135-2890
Mailing address
29217 Ford Rd Ste 115
Garden City, MI 48135-2890
Phone (734) 956-6327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220228001976 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254725690 | Practice locations: Garden City, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2248150 | Guiding Light Home Care LLC | Certificate of waiver | Jan 11, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Guiding Light Home Care LLC
- Part of
- Guiding Light Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Garden City, MI
- NPI 1255925111
Locations
29217 Ford Rd
Ste 115
Garden City, MI 48135
Phone (734) 833-8979
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- In Home Supportive Care Agency
- Garden City, MI
- NPI 1255925111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Garden City, MI
- NPI 1649746710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1215681879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29217 FORD RD STE 115",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352890",
"telephone_number": "734-956-6327",
"fax_number": "734-956-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29217 FORD RD STE 115",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352890",
"telephone_number": "734-956-6327",
"fax_number": "734-956-6362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUIDING LIGHT HOME CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GUIDING LIGHT HOME CARE LLC",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-10",
"status": "A",
"authorized_official_last_name": "ESKRIDGE-GARNER",
"authorized_official_first_name": "ROXANE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "734-833-8979"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.