Organization Active NPI

Guiding Light Inc

  • Community/Behavioral Health Agency
  • Lumberton, NC
National Provider Identifier
1811039720
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 10, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8301608GMedicaidNC
8301608BMedicaidNC
8301608MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.