Guiding Light Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GUIDING LIGHT HOSPICE

Practice address

2315 N 5TH St
Elko, NV 89801-4456

Phone

(775) 753-6400

NPI assigned

Mar 1, 2017

Last updated

Nov 8, 2023By 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

Paula Price, RN

Title

Owner

Phone

(775) 753-7110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972043594. Details of each certification follow.

• CCN 291554 Hospice · Active · Details

Hospice certification: CCN 291554

Legal name

GUIDING LIGHT HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 30, 2017

Last certification

Nov 3, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 13, 2017 in NV

Enrollment address

2315 N 5TH St
Elko, NV 89801-4456

Listed as

Guiding Light HospiceCCN 291554 · All quality measures

Ownership

For-Profit

Certified

Nov 30, 2017

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• John S Tkach, MD

  • Internal Medicine Physician
  • Elko, NV
  • NPI 1063476422

  Operational/Managerial Control

  CMS ownership

Practitioners 11

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.

• Caitlynne Chapman

  • Personal Care Attendant
  • Elko, NV
  • NPI 1619682523
  NPD
• Gavin Fuchs

  • Personal Care Attendant
  • Elko, NV
  • NPI 1144913765
  NPD
• John S Tkach, MD

  • Internal Medicine Physician
  • Elko, NV
  • NPI 1063476422
  NPD
• Laurie Bowman

  • Personal Care Attendant
  • Elko, NV
  • NPI 1770125957
  NPD (past)
• Ashtyn Creamer

  • Personal Care Attendant
  • Elko, NV
  • NPI 1811539091
  NPD (past)
• Corina Felzien

  • Personal Care Attendant
  • Elko, NV
  • NPI 1871135079
  NPD (past)
• Vanessa Jauregui

  • Personal Care Attendant
  • Elko, NV
  • NPI 1447892641
  NPD (past)
• Susan Martin

  • Personal Care Attendant
  • Elko, NV
  • NPI 1346882537
  NPD (past)
• Kelsi Millard

  • Attendant Care Provider
  • Elko, NV
  • NPI 1437793338
  NPD (past)
• Cynthia Milligan-Lusk

  • Attendant Care Provider
  • Elko, NV
  • NPI 1649812819
  NPD (past)
• Mary Oliver

  • Personal Care Attendant
  • Elko, NV
  • NPI 1336781400
  NPD (past)

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1972043594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 N 5TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014456",
            "telephone_number": "775-753-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 N 5TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014456",
            "telephone_number": "775-753-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-753-7110",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Grow, MPT
• Hannah Justine Growcock
• Genaye Guadagnin
• Guardian Flight LLC
• Tracey Annette Guerrero, CMA
• Mark Lee Guisti, OD
• John Dennis Gull, D.O.
• Steven F Gunnell, D.O.
• Connie Gunter
• Jocelyn Guzman

• Community Based Hospice Care Agency in Elko, NV
• Providers in Elko, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.