Active NPI
Supportive Care Resources
- In Home Supportive Care Agency
- Bethlehem, PA
National Provider Identifier
1891390902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SUPPORTIVE CARE RESOURCES
- Practice address
- 1 W Broad St FL 11
Bethlehem, PA 18018-5717 - Phone
- (215) 403-7104
- NPI assigned
- Dec 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chelli T Grose-Smith
- Title
- Ceo
- Phone
- (267) 779-3316
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1 W Broad St FL 11
Bethlehem, PA 18018-5717
Mailing address
1 W Broad St FL 11
Bethlehem, PA 18018-5717
Phone (267) 779-3316
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681948800000",
"number": "1891390902",
"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": "215-403-7104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORTIVE CARE RESOURCES",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-04",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A",
"authorized_official_last_name": "GROSE-SMITH",
"authorized_official_first_name": "CHELLI",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-779-3316"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 20, 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.