Provider Demographics
NPI:1588169098
Name:GUIDED LIFE CARE PLANNING SERVICES LLC
Entity type:Organization
Organization Name:GUIDED LIFE CARE PLANNING SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-538-5201
Mailing Address - Street 1:17429 NEW CROSS CIR
Mailing Address - Street 2:
Mailing Address - City:LITHIA
Mailing Address - State:FL
Mailing Address - Zip Code:33547-4916
Mailing Address - Country:US
Mailing Address - Phone:813-538-5201
Mailing Address - Fax:
Practice Address - Street 1:17429 NEW CROSS CIR
Practice Address - Street 2:
Practice Address - City:LITHIA
Practice Address - State:FL
Practice Address - Zip Code:33547
Practice Address - Country:US
Practice Address - Phone:813-538-5201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4325090251B00000X
252Y00000X, 251K00000X, 261QH0100X, 282E00000X, 305S00000X
VA00108805261QR0400X
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency
No251K00000XAgenciesPublic Health or Welfare
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No282E00000XHospitalsLong Term Care Hospital
No305S00000XManaged Care OrganizationsPoint of Service