Organization Active NPI

Pocono Mountains Palliative Hospice & Homehealth Care Inc

  • Community Based Hospice Care Agency
  • Bethlehem, PA
National Provider Identifier
1053097758
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jun 26, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.