Active NPI
Stephen Shoup
- In Home Supportive Care Agency
- State College, PA
National Provider Identifier
1164368015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 91813601
- Practice address
- 3500 E College Ave Ste 1090
State College, PA 16801-7569 - Phone
- (814) 738-7655
- NPI assigned
- Apr 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 91813601 | PA | Primary |
Addresses
Primary practice location
3500 E College Ave Ste 1090
State College, PA 16801-7569
Mailing address
3500 E College Ave Ste 1090
State College, PA 16801-7569
Phone (814) 738-7655
Other names 1
- Brenna Bingaman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91813601 | PA | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Care Partners LLC | In Home Supportive Care | Current | Accepting new patients |
Locations
3500 E College Ave
Ste 1090
State College, PA 16801
Phone (814) 738-7655
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- State College, PA
- NPI 1437081593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1164368015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 E COLLEGE AVE STE 1090",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017569",
"telephone_number": "814-738-7655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E COLLEGE AVE STE 1090",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017569",
"telephone_number": "814-738-7655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOUP",
"first_name": "STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-24",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "PA",
"license": "91813601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENNA",
"last_name": "BINGAMAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.