SHACKLEFORD GUIDING LIGHT LLC
NPI 1356179923
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Snow Hill, NC

Q: What is Shackleford Guiding Light LLC's NPI number?

The NPI number for Shackleford Guiding Light LLC is 1356179923. It was assigned to this organization in the NPPES registry on July 24, 2024.

Q: What is Shackleford Guiding Light LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since July 24, 2024

687 MOORE ROUSE RD, SNOW HILL, NC 28580(252) 419-2407 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shackleford Guiding Light Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHACKLEFORD GUIDING LIGHT LLC (NPI 1356179923) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Snow Hill, North Carolina and active in the NPI registry since July 2024. The organization lists Sandra Shackleford, Owner, as its authorized official.

NPPES Registry Identity

NPI1356179923

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameSHACKLEFORD GUIDING LIGHT LLC

Location Address687 MOORE ROUSE RDSnow Hill, NC 28580-7383

Mailing Address687 Moore Rouse RdSnow Hill, NC 28580-7383 · (252) 419-2407

Phone(252) 419-2407

Organization SubpartNo

Authorized OfficialSandra ShacklefordOwner · (252) 419-2407

Enumeration DateJuly 24, 2024

NPPES CertifiedJuly 24, 2024

✔ NPI 1356179923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

687 MOORE ROUSE RD, Snow Hill, NC 28580

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA BARRETT SHACKLEFORD

Behavior Technician

687 MOORE ROUSE RD
SNOW HILL, NC 28580

Greene County (252) 419-2407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shackleford Guiding Light LLC's NPI number?

The NPI number for Shackleford Guiding Light LLC is 1356179923. It was assigned to this organization in the NPPES registry on July 24, 2024.

Where is Shackleford Guiding Light LLC located?

Shackleford Guiding Light LLC is located at 687 Moore Rouse Rd, Snow Hill, NC 28580. The listed phone number is (252) 419-2407.

What is Shackleford Guiding Light LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Shackleford Guiding Light LLC was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.