Lehigh Human Support Services LLC

Primary specialty

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

License

CER-00129046 Issued in PA

Legal business name

LEHIGH HUMAN SUPPORT SERVICES LLC

Practice address

5020 Hamilton Blvd
Allentown, PA 18106-9188

Phone

(484) 221-8752

Fax

(610) 619-9096

NPI assigned

Jun 1, 2018

Organization subpart

No

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

Authorized official

Name

Adewale Alade Dosunmu Sr.

Title

Owner/President

Phone

(484) 221-8752

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lehigh Human Support Services LLC Former legal business name

Locations

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1912499369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 HAMILTON ST STE 203",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181011024",
            "telephone_number": "484-221-8752",
            "fax_number": "610-819-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 HAMILTON BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069188",
            "telephone_number": "484-221-8752",
            "fax_number": "610-619-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH HUMAN SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "DOSUNMU",
        "authorized_official_first_name": "ADEWALE",
        "authorized_official_middle_name": "ALADE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "484-221-8752",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "CER-00129046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024804850004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehigh Human Support Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Allentown, PA
• Providers in Allentown, 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 Jun 1, 2018; 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.