Provider Demographics
NPI:1689994675
Name:GUIDING LIGHT HEALTH CENTER, LTD
Entity Type:Organization
Organization Name:GUIDING LIGHT HEALTH CENTER, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MBA
Authorized Official - Phone:614-286-9021
Mailing Address - Street 1:6211 BERINGER DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8039
Mailing Address - Country:US
Mailing Address - Phone:614-286-9021
Mailing Address - Fax:614-891-4327
Practice Address - Street 1:6211 BERINGER DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8039
Practice Address - Country:US
Practice Address - Phone:614-286-9021
Practice Address - Fax:614-891-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2402108Medicaid