Active NPI
Guiding Star Light Care Center Inc
- In Home Supportive Care Agency
- Miramar, FL
National Provider Identifier
1639875420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GUIDING STAR LIGHT CARE CENTER INC
- Doing business as
- Guiding Star Light Care Center Inc
- Practice address
- 2351 Lake Miramar Way
Miramar, FL 33025-3840 - Phone
- (786) 689-3497
- Fax
- (305) 454-9683
- NPI assigned
- Feb 2, 2023
- Last updated
- Feb 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Sandra M Duncan, CERTIFIED NURSING AS
- Title
- Owner
- Phone
- (786) 689-3497
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2351 Lake Miramar Way
Miramar, FL 33025-3840
Mailing address
3751 NW 175TH St
Miami Gardens, FL 33055-3829
Phone (770) 837-7524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255790919 | Medicaid | FL |
Other names 1
- GUIDING STAR LIGHT CARE CENTER INC
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Adult Companion
- Miami Gardens, FL
- NPI 1255970919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675296000000",
"number": "1639875420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3751 NW 175TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330553829",
"telephone_number": "770-837-7524",
"fax_number": "305-454-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 LAKE MIRAMAR WAY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253840",
"telephone_number": "786-689-3497",
"fax_number": "305-454-9683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUIDING STAR LIGHT CARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-02",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-689-3497",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "CERTIFIED NURSING AS"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255790919",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GUIDING STAR LIGHT CARE CENTER INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.