Organization Active NPI

Guiding Light Home Care LLC

  • Clinical Medical Laboratory
  • Garden City, MI
National Provider Identifier
1215681879
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Roxane Eskridge-GarnerNPI 1649746710
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20220228001976 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1254725690 Practice locations: Garden City, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2248150Guiding Light Home Care LLC29217 Ford Road Suite 115, Garden City, MI 48135Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Guiding Light Home Care LLC2 organizations share this tax ID, including this one
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.

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.