Organization Active NPI

Ethereal Home Care

  • In Home Supportive Care Agency
  • Bear, DE
National Provider Identifier
1174441356
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ETHEREAL HOME CARE
Practice address
40 Saint George Ter
Bear, DE 19701-1091
Phone
(302) 598-9466
NPI assigned
Jul 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Adebisi Abiodun Banjo
Title
Director
Phone
(303) 622-5803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

40 Saint George Ter
Bear, DE 19701-1091

Mailing address

40 Saint George Ter
Bear, DE 19701-1091
Phone (302) 598-9466

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1174441356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SAINT GEORGE TER",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011091",
            "telephone_number": "302-598-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SAINT GEORGE TER",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011091",
            "telephone_number": "302-598-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHEREAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "BANJO",
        "authorized_official_first_name": "ADEBISI",
        "authorized_official_middle_name": "ABIODUN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-622-5803"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.