Organization Active NPI

Destiny Empowerment House and Groups LLC

  • Home Health Agency
  • East Stroudsburg, PA
National Provider Identifier
1811432313
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
RN572318 Issued in PA
Legal business name
DESTINY EMPOWERMENT HOUSE AND GROUPS LLC
Practice address
5013 Pine Ridge Rd S
East Stroudsburg, PA 18302-8669
Phone
(570) 269-2423
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Geraldine AnamegeNPI 1023778032
Title
Administrator
Phone
(570) 269-2423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X RN572318 PA Primary
Home Infusion Agency 251F00000X RN572318 PA

Addresses

Primary practice location

5013 Pine Ridge Rd S
East Stroudsburg, PA 18302-8669

Mailing address

5013 Pine Ridge Rd S
East Stroudsburg, PA 18302-8669
Phone (570) 269-2423

Other identifiers 1

IdentifierTypeStateIssuer
RN572318OtherPABUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS

National Provider Directory

National Provider Directory

Locations

18 N 7th St
Unit 2
Stroudsburg, PA 18360
Phone (570) 218-8700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1811432313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 PINE RIDGE RD S",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183028669",
            "telephone_number": "570-269-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5013 PINE RIDGE RD S",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183028669",
            "telephone_number": "570-269-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY EMPOWERMENT HOUSE AND GROUPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "ANAMEGE",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-269-2423"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "RN572318",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "PA",
            "license": "RN572318",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
            "identifier": "RN572318",
            "state": "PA"
        }
    ],
    "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 Apr 17, 2017; 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.