GUIDING LIGHT HOME FOR BOYS, INC. (NPI# 1346867041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346867041 |
| Entity Type | Organization |
| Organization Name | GUIDING LIGHT HOME FOR BOYS, INC. |
| Other Organization Name | GUIDING LIGHT HOME FOR BOYS, INC. STRTP SITE 2 |
| Practice Address |
25123 Middlebrook Way Moreno Valley CA 92551-9204 |
| Practice Telephone | 9514850423 |
| Practice Fax Number | 9514859164 |
| Mailing Telephone | 9514850423 |
| Mailing Fax Number | 9514859164 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | MS. CANDACE G HACHE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9519061424 |
| Is Organization Subpart | Y |
| Parent Organization Name | GUIDING LIGHT HOME FOR BOYS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Guiding Light Home for Boys, Inc. STRTP | Doing Business As Name - Organization |
| Guiding Light Home for Boys, Inc. STRTP Site 2 | Doing Business As Name - Organization |
| Guiding Light Home fro Boys, Inc. Site 2 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447788195 | Guiding Light Home for Boys, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 26624 Saffron Cir, Moreno Valley, CA 92555-3834 | 2017-05-25 |
| Street Address |
25123 MIDDLEBROOK WAY |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92551-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689153819 | James Gonzales | Counselor | 25123 Middlebrook Way, Moreno Valley, CA 92551-9204 | 2018-08-08 |
| 1225511066 | Faith Beverly | Marriage & Family Therapist | 25123 Middlebrook Way, Moreno Valley, CA 92551-9204 | 2018-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730735549 | Geraldine Reed-lewis | Technician | 24805 Quenada Dr., Moreno Valley, CA 92551 | 2019-08-16 |
| 1003330176 | Xochitl Estrada Marroquin | Behavioral Analyst | 24458 Liolios Way, Moreno Valley, CA 92551 | 2017-07-31 |
| 1124407291 | Lynelle Chapman | Marriage & Family Therapist | 16339 Silverbirch Rd, Morenovalley, CA 92551 | 2015-05-22 |
| 1225298904 | Fy Eye Optometry Group Inc | Optometrist | 27100 Eucalyptus, Moreno Valley, CA 92551 | 2008-06-16 |
| 1407945306 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 15025 Perris Blvd, Moreno Valley, CA 92551 | 2006-10-11 |
| 1033487327 | Red Maple Mtu | Public Health or Welfare | 25100 Red Maple Ln Bldg H, Moreno Valley, CA 92551-1120 | 2011-12-01 |
| 1780910984 | Michael Robert Thomas | Physical Therapy Assistant | 16420 Perris Blvd, Moreno Valley, CA 92551-1135 | 2009-10-22 |
| 1386190866 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 16420 Perris Blvd, Suite Q, Moreno Valley, CA 92551-1135 | 2016-08-25 |
| 1316292741 | Beautiful Skin Essentials Inc | Registered Nurse | 16420 Perris Blvd, Suite #l, Moreno Valley, CA 92551-1135 | 2012-07-23 |
| 1265754055 | Reza Farahanchi | Acupuncturist | 16420 Perris Blvd, Moreno Valley, CA 92551-1135 | 2010-02-19 |
| Find all providers in zip 92551 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447788195 | Guiding Light Home for Boys, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 26624 Saffron Cir, Moreno Valley, CA 92555-3834 | 2017-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92551 |
Please comment or provide details below to improve the information on GUIDING LIGHT HOME FOR BOYS, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.