Organization Active NPI

Guiding Light Healthcare

  • Adult Care Home Facility
  • Kansas City, MO
National Provider Identifier
1295967891
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GUIDING LIGHT HEALTHCARE
Practice address
10640 Holmes Rd
Kansas City, MO 64131-3404
Phone
(913) 909-7298
NPI assigned
Aug 14, 2009
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
LIGHTHOUSEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Alfredo Ehichoya Egbadon
Title
Owner
Phone
(913) 909-7298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

10640 Holmes Rd
Kansas City, MO 64131-3404

Mailing address

10640 Holmes Rd
Kansas City, MO 64131-3404
Phone (913) 909-7298

National Provider Directory

National Provider Directory
Part of
Guiding Light Healthcare

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1295967891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 HOLMES RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313404",
            "telephone_number": "913-909-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 HOLMES RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313404",
            "telephone_number": "913-909-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIGHTHOUSE",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "EGBADON",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "EHICHOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-909-7298"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.