Organization Active NPI

Traditions at Hanover at Home, LLC

  • In Home Supportive Care Agency
  • Bethlehem, PA
National Provider Identifier
1184968612
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
22833601 Issued in PA
Legal business name
TRADITIONS AT HANOVER AT HOME, LLC
Practice address
1502 Center St
Suite 202
Bethlehem, PA 18018-2539
Phone
(610) 419-3295
Fax
(302) 358-2978
NPI assigned
Nov 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Gregory Francis Bobka, ESQ
Title
Cfo
Phone
(215) 793-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 22833601 PA Primary

Addresses

Primary practice location

1502 Center St
Suite 202
Bethlehem, PA 18018-2539

Mailing address

1502 Center St
Suite 202
Bethlehem, PA 18018-2539
Phone (610) 419-3295

National Provider Directory

National Provider Directory

Locations

1502 Center St
Ste 202
Bethlehem, PA 18018
Phone (610) 419-3295

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1184968612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 CENTER ST",
            "address_2": "SUITE 202",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182539",
            "telephone_number": "610-419-3295",
            "fax_number": "302-358-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 CENTER ST",
            "address_2": "SUITE 202",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182539",
            "telephone_number": "610-419-3295",
            "fax_number": "302-358-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONS AT HANOVER AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "BOBKA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-793-4445",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "22833601",
            "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 Nov 21, 2012; 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.