Organization · Type 2 NPI

Guiding Light Home for Boys, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Moreno Valley, CA

NPI number 1346867041 Active

Practice location

14355 Tradewinds Pl
Moreno Valley, CA 92555-5761

Call (951) 485-0423 Map

Fax (951) 485-9164

Mailing address

25123 Middlebrook Way
Moreno Valley, CA 92551-9204

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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NPI record

NPI: 1346867041
Entity type: Organization (Type 2)
Issued: Jun 29, 2020
Last updated: Aug 20, 2025
Status: Active
Subpart: Yes of Guiding Light Home for Boys, Inc

Other names

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Guiding Light Home for Boys, Inc. Strtp · doing business as
Guiding Light Home for Boys, Inc. Strtp Site 2 · doing business as
Guiding Light Home for Boys, Inc. Strtp Site 2 · doing business as

Authorized official

Ms. Candace G Hache
Executive Director
(951) 906-1424

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346867041

Guiding Light Home for Boys, Inc.'s National Provider Identifier is 1346867041, issued on Jun 29, 2020. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Aug 20, 2025.