NPIMap

Organization Active NPI

Guiding Light Home for Boys, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Moreno Valley, CA
National Provider Identifier
1346867041
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
GUIDING LIGHT HOME FOR BOYS, INC.
Practice address
14355 Tradewinds PL
Moreno Valley, CA 92555-5761
Phone
(951) 485-0423
Fax
(951) 485-9164
NPI assigned
Jun 29, 2020
Organization subpart
Yes
Parent organization
GUIDING LIGHT HOME FOR BOYS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Ms. Candace G Hache
Title
Executive Director
Phone
(951) 906-1424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

14355 Tradewinds PL
Moreno Valley, CA 92555-5761

Mailing address

25123 Middlebrook Way
Moreno Valley, CA 92551-9204
Phone (951) 485-0423

Other names 2

  • Guiding Light Home for Boys, Inc. STRTP Doing business as
  • Guiding Light Home for Boys, Inc. STRTP Site 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guiding Light Home for Boys Inc2 organizations share this tax ID, including this one
Part of
Guiding Light Home for Boys Inc

Other organizations with this tax ID 1

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

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": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1346867041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25123 MIDDLEBROOK WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925519204",
            "telephone_number": "951-485-0423",
            "fax_number": "951-485-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14355 TRADEWINDS PL",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555761",
            "telephone_number": "951-485-0423",
            "fax_number": "951-485-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT HOME FOR BOYS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUIDING LIGHT HOME FOR BOYS, INC",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "HACHE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-906-1424",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guiding Light Home for Boys, Inc. STRTP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guiding Light Home for Boys, Inc. STRTP Site 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guiding Light Home for Boys, Inc. STRTP Site 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.