NPIMap

Organization Active NPI

Guiding Lights PLC

Doing business as Lincoln Trail Adult Day care

  • Adult Day Care Clinic/Center
  • Radcliff, KY
National Provider Identifier
1386184570
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
31150 Issued in KY
Legal business name
GUIDING LIGHTS PLC
Doing business as
Lincoln Trail Adult Day care
Practice address
555 W Lincoln Trail Blvd
Radcliff, KY 40160-3301
Phone
(270) 900-1461
Fax
(270) 900-1468
NPI assigned
Mar 7, 2017
Last updated
Mar 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Dr. Ijaz Mahmood, M.D.NPI 1609858539
Title
Director
Phone
(270) 300-4461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 31150 KY Primary

Addresses

Primary practice location

555 W Lincoln Trail Blvd
Radcliff, KY 40160-3301

Mailing address

1239 Woodland Dr
Suite 105
Elizabethtown, KY 42701-2770
Phone (270) 900-1461

Other identifiers 1

IdentifierTypeStateIssuer
64311509MedicaidKY

Other names 1

  • Lincoln Trail Adult Day care Doing business as

National Provider Directory

National Provider Directory

Locations

555 W Lincoln Trail Blvd
Radcliff, KY 40160
Phone (270) 390-0006

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1386184570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 WOODLAND DR",
            "address_2": "SUITE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012770",
            "telephone_number": "270-900-1461",
            "fax_number": "270-900-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401603301",
            "telephone_number": "270-900-1461",
            "fax_number": "270-900-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "270-300-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "31150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64311509",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Trail Adult Day care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Radcliff, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.