Hargar Supreme Care and Staffing, Inc.

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

HARGAR SUPREME CARE AND STAFFING, INC.

Practice address

237 Wolfenden Ave
Collingdale, PA 19023-3221

Phone

(610) 237-7467

Fax

(610) 237-7468

NPI assigned

Dec 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George Saddy Harris Sr.

Title

Director of Residential Program

Phone

(610) 237-7467

Specialties & licenses 4

Addresses

Other names 1

• None Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1093950164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WOLFENDEN AVE",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190233221",
            "telephone_number": "610-237-7467",
            "fax_number": "610-237-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 WOLFENDEN AVE",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190233221",
            "telephone_number": "610-237-7467",
            "fax_number": "610-237-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARGAR SUPREME CARE AND STAFFING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SADDY",
        "authorized_official_title_or_position": "DIRECTOR OF RESIDENTIAL PROGRAM",
        "authorized_official_telephone_number": "610-237-7467",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Grasty
• Kimberly Gruden, LSW
• Joy Guyton
• Halia Home and Community Services
• Theodore Dwight Hampton Jr., LCMT
• Jessica Hayden
• Damolla Hayward, DSW, LCSW
• Healing Helpers, LLC
• Heavenly Care Incorporated
• Michelle Viola Henderson

• Child Intellectual and/or Developmental Disabilities Respite Care in Collingdale, PA
• Providers in Collingdale, PA by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.