Organization Active NPI

Candlelight in-Home Care Inc

  • Home Health Agency
  • Davenport, IA
National Provider Identifier
1932481561
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CANDLELIGHT IN-HOME CARE INC
Practice address
3901 Marquette St
Suite# 1-G
Davenport, IA 52806-4445
Phone
(563) 391-8117
Fax
(563) 391-0615
NPI assigned
Sep 9, 2011
Last updated
Sep 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mrs. Crystal Lynn Guy
Title
President
Phone
(563) 391-8117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IA Primary
Non-emergency Medical Transport (VAN) 343900000X IA

Addresses

Primary practice location

3901 Marquette St
Suite# 1-G
Davenport, IA 52806-4445

Mailing address

3901 Marquette St
Suite# 1-G
Davenport, IA 52806-4445
Phone (563) 391-8117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1932481561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MARQUETTE ST",
            "address_2": "SUITE# 1-G",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064445",
            "telephone_number": "563-391-8117",
            "fax_number": "563-391-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MARQUETTE ST",
            "address_2": "SUITE# 1-G",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064445",
            "telephone_number": "563-391-8117",
            "fax_number": "563-391-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLELIGHT IN-HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-391-8117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.