Guiding Light Home for Boys, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

GUIDING LIGHT HOME FOR BOYS, INC

Practice address

26624 Saffron Cir
Moreno Valley, CA 92555-3834

Phone

(951) 775-3748

NPI assigned

May 30, 2019

Last updated

Jun 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shugella Weaver Thomas

Title

Program Director

Phone

(951) 775-3748

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miguelina Mixon

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
  • NPI 1275061194

  Mental Health

  NPD

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1366000945",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26624 SAFFRON CIR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553834",
            "telephone_number": "951-775-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT HOME FOR BOYS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "WEAVER THOMAS",
        "authorized_official_first_name": "SHUGELLA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "951-775-3748"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anadaisy Guerrero Lizardo
• Anthony Isaiah Guerrero
• Eufrocina Guerrero
• Karina Marie Guerrero, LVN,CHW
• Juliana Guevara Barcenes
• Guiding Light Home for Boys, Inc. (Guiding Light Home for Boys, Inc. STRTP)
• Guiding Light Home for Boys, Inc.
• Chelsea Kirsten Gurrola, MD
• Vicky Kay Gustafson, REGISTERED NURSE
• Giovanna Edith Gutierrez

• Marriage & Family Therapist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.