Organization Active NPI

Guiding Light Youth & Family Services

  • Community/Behavioral Health Agency
  • Matthews, NC
National Provider Identifier
1245422823
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GUIDING LIGHT YOUTH & FAMILY SERVICES
Practice address
1233 Morningside Meadow LN
Matthews, NC 28104-8553
Phone
(704) 684-0257
Fax
(704) 684-0258
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Mrs. Dana S Towler
Title
Co-Owner/Asst. Director
Phone
(704) 684-0257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1233 Morningside Meadow LN
Matthews, NC 28104-8553

Mailing address

1233 Morningside Meadow LN
Matthews, NC 28104-8553
Phone (704) 684-0257

Other identifiers 3

IdentifierTypeStateIssuer
8301914MedicaidNC
8301914GMedicaidNC
8301914BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Guiding Light Youth and Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1245422823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 MORNINGSIDE MEADOW LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281048553",
            "telephone_number": "704-684-0257",
            "fax_number": "704-684-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MORNINGSIDE MEADOW LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281048553",
            "telephone_number": "704-684-0257",
            "fax_number": "704-684-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "TOWLER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-OWNER/ASST. DIRECTOR",
        "authorized_official_telephone_number": "704-684-0257",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301914",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301914G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301914B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.