Organization Active NPI

Mighty Caregivers LLC

  • In Home Supportive Care Agency
  • East Stroudsburg, PA
National Provider Identifier
1770168346
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MIGHTY CAREGIVERS LLC
Practice address
219 Wilbur Bloom Blvd
East Stroudsburg, PA 18302-8698
Phone
(347) 210-4580
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Guy V Prevost
Title
Owner/President
Phone
(347) 210-4580

Specialties & licenses 1

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

Addresses

Primary practice location

219 Wilbur Bloom Blvd
East Stroudsburg, PA 18302-8698

Mailing address

219 Wilbur Bloom Blvd
East Stroudsburg, PA 18302-8698
Phone (347) 210-4580

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1770168346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 WILBUR BLOOM BLVD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183028698",
            "telephone_number": "347-210-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 WILBUR BLOOM BLVD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183028698",
            "telephone_number": "347-210-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "PREVOST",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "347-210-4580"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.