Guardian Light Group Home

LBN: Guardian Light Group Home
Guardian Light Group Home is an health care organization with primary practice located at 1294 Hallsboro Rd S , Hallsboro NC 28442-9276. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Guardian Light Group Home can be contacted via phone (910) 864-3163, or through Powers, Robertha M via phone (910) 864-3163.

Contact Information

Primary practice address
1294 Hallsboro Rd S Hallsboro NC 28442-9276
Phone: (910) 864-3163
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Powers, Robertha M
Phone: (910) 864-3163

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-024-056 North Carolina

Profile Details

NPI number 1427177542
LBN Legal business name Guardian Light Group Home
DBA Doing business as
Authorized official Powers, Robertha M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 25th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427177542 NPPES
North Carolina MEDICAID 6603682

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