Organization
GUIDING LIGHT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI MUTOMBO (OWNER)
(571) 529-3222
Entity
Organization
Contact information
Practice address
26145 WENDELL ST, CHANTILLY, VA 20152-3404
(571) 252-9762
Mailing address
26145 WENDELL ST, CHANTILLY, VA 20152-3404
(571) 252-9762
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
314000000X
Skilled Nursing Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
05/23/2024
Last updated
01/17/2025
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