Active NPI
Guiding Light Inc
- Community/Behavioral Health Agency
- Lumberton, NC
National Provider Identifier
1811039720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GUIDING LIGHT INC
- Practice address
- 1205 N Pine St
Lumberton, NC 28358-4711 - Phone
- (910) 738-4095
- NPI assigned
- Feb 14, 2007
- 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
- Mr. Shelvin Aundra Rice
- Title
- Director
- Phone
- (704) 361-1999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1205 N Pine St
Lumberton, NC 28358-4711
Mailing address
PO Box 42308
Charlotte, NC 28215-0006
Phone (704) 361-1999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301608G | Medicaid | NC | |
| 8301608B | Medicaid | NC | |
| 8301608 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1205 N Pine St
Lumberton, NC 28358
Phone (910) 416-0458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186704000000",
"number": "1811039720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42308",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282150006",
"telephone_number": "704-361-1999",
"fax_number": "704-409-4877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 N PINE ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283584711",
"telephone_number": "910-738-4095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUIDING LIGHT INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2007-08-10",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "SHELVIN",
"authorized_official_middle_name": "AUNDRA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "704-361-1999",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301608G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301608B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301608",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.