Active NPI
Pocono Mountains Palliative Hospice & Homehealth Care Inc
- Community Based Hospice Care Agency
- Bethlehem, PA
National Provider Identifier
1053097758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- POCONO MOUNTAINS PALLIATIVE HOSPICE & HOMEHEALTH CARE INC
- Practice address
- 306 S New St Ste 110
Bethlehem, PA 18015-1110 - Phone
- (626) 705-6028
- Fax
- (909) 266-0334
- NPI assigned
- Jun 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raymnd Obiamalu
- Title
- President
- Phone
- (626) 705-6028
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
306 S New St Ste 110
Bethlehem, PA 18015-1110
Mailing address
306 S New St Ste 110
Bethlehem, PA 18015-1110
Phone (626) 705-6028
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687737600000",
"number": "1053097758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 S NEW ST STE 110",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151110",
"telephone_number": "626-705-6028",
"fax_number": "909-266-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 S NEW ST STE 110",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151110",
"telephone_number": "626-705-6028",
"fax_number": "909-266-0334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POCONO MOUNTAINS PALLIATIVE HOSPICE & HOMEHEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A",
"authorized_official_last_name": "OBIAMALU",
"authorized_official_first_name": "RAYMND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-705-6028"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.