Direct Support Services of Pennsylvania

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

DIRECT SUPPORT SERVICES OF PENNSYLVANIA

Practice address

1 W Broad St FL 11
Bethlehem, PA 18018-5717

Phone

(267) 779-3316

NPI assigned

Apr 28, 2023

Last updated

Apr 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chelli Tieal Grose-Smith

Title

Ceo

Phone

(267) 779-3316

Specialties & licenses 1

Addresses

Other names 1

• Supportive Care Resources Other name

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1528756343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W BROAD ST FL 11",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185717",
            "telephone_number": "267-779-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W BROAD ST FL 11",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185717",
            "telephone_number": "267-779-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT SUPPORT SERVICES OF PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "GROSE-SMITH",
        "authorized_official_first_name": "CHELLI",
        "authorized_official_middle_name": "TIEAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-779-3316"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supportive Care Resources",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Allyse Dimattia
• Rana N Dimmig, LCSW
• Joshua Mackenzie Dimond, DO
• Dominick Dinapoli, PAC
• Anthony D, Dippolito, M.D.
• Kayleigh Discala, PA-C
• Natalie Dispoto, OT
• Thomas Andrew Diven, M.D.
• Divine Care Community Homes LLC
• Divine Social Care LLC (First Light Home Care of Lehigh Valley)

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.