Organization Active NPI

RX Home Care Inc.

  • Home Health Agency
  • Bethlehem, PA
National Provider Identifier
1467446609
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
758705 Issued in PA
Legal business name
RX HOME CARE INC.
Practice address
1 E Broad St Ste 430
Bethlehem, PA 18018-5963
Phone
(610) 868-1801
Fax
(610) 954-9367
NPI assigned
Sep 2, 2005
Organization subpart
Yes
Parent organization
CARESPHERE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Yita Mandel
Title
President
Phone
(845) 641-6113

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WG0000X 758705 PA
Home Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WH0200X 758705 PA
Licensed Practical NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 164W00000X 758705 PA
Home Health Agency 251E00000X 758705 PA Primary

Addresses

Primary practice location

1 E Broad St Ste 430
Bethlehem, PA 18018-5963

Mailing address

1 E Broad St Ste 430
Bethlehem, PA 18018-5963
Phone (610) 868-1801

Other identifiers 1

IdentifierTypeStateIssuer
0015892880001MedicaidPA

Other names 1

  • CareSphere LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Caresphere LLC

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 23, 2020 Change of OwnershipThis provider was the seller Caresphere LLCCCN 397587, PA, NPI 1801448204

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1467446609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST STE 430",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185963",
            "telephone_number": "610-868-1801",
            "fax_number": "610-954-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST STE 430",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185963",
            "telephone_number": "610-868-1801",
            "fax_number": "610-954-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX HOME CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARESPHERE LLC",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "YITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-641-6113"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "PA",
            "license": "758705",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "758705",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "758705",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "758705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015892880001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSphere LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.