Guiding Light Senior Living 2 Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GUIDING LIGHT SENIOR LIVING 2 INC.

Practice address

1073 Hunt St NW
Palm Bay, FL 32907-7842

Phone

(321) 482-9759

NPI assigned

Apr 18, 2016

Last updated

Apr 18, 2016By 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

Coretta Waters

Title

Administrator

Phone

(321) 482-9759

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1598119471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 HUNT ST NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077842",
            "telephone_number": "321-482-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 HUNT ST NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077842",
            "telephone_number": "321-482-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT SENIOR LIVING 2 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "CORETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-482-9759"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Griffin
• Quita Melissa Griffith, PA-C
• Robin Grodecky, M.A, CCC-SLP
• Teresa Gross
• Herson Ivan Guerrero Pena, TCM CASE MANAGER FCB
• Guiding Light Senior Living Inc
• Cheyenne Leigh Gulk
• Nitesh Gupta
• Stephen Paul Guss, M.D.
• Armando Gutierrez

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.