| Organization Name: | LEADING LIGHT HOME CARE, INC. |
| NPI Number: | 1124437587 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VERONICA SINGFIELD (ADMINISTRATOR) |
| Mailing Address: | 1925 Vaughn Rd Nw Suite 135 Kennesaw |
| State: | GA US |
| Postal Code: | 301444560 |
| Phone Number: | 6788092285 |
| Fax Number: | 7705752195 |
| NPI Enumeration Date: | 08/10/2014 |
| NPI Last Update Date: | 08/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 033-R-1310 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |