Provider Demographics
NPI:1578712808
Name:GUIDING LIGHT HOME CARE
Entity Type:Organization
Organization Name:GUIDING LIGHT HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SARNELLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-264-3131
Mailing Address - Street 1:812 POOLE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-2051
Mailing Address - Country:US
Mailing Address - Phone:732-264-3131
Mailing Address - Fax:732-264-7846
Practice Address - Street 1:812 POOLE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-2051
Practice Address - Country:US
Practice Address - Phone:732-264-3131
Practice Address - Fax:732-264-7846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0120000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health