Organization Active NPI

Traditional Home Care LLC

  • In Home Supportive Care Agency
  • Dunmore, PA
National Provider Identifier
1962870238
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
28573601 Issued in PA
Legal business name
TRADITIONAL HOME CARE LLC
Practice address
1418 Electric St
Dunmore, PA 18509-2015
Phone
(570) 507-9420
NPI assigned
Sep 3, 2015
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Trish Supanek
Title
Chief Operations Officer
Phone
(570) 207-9286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 28573601 PA Primary

Addresses

Primary practice location

1418 Electric St
Dunmore, PA 18509-2015

Mailing address

113 W Drinker St
Dunmore, PA 18512-1913
Phone (570) 207-9286

Other identifiers 1

IdentifierTypeStateIssuer
28573601OtherPAPA DEPARMTNET OF HEALTH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2151861Traditional Home Care LLC1418 Electric Street, Dunmore, PA 18509Certificate of waiverJul 29, 2026
39D2188963Traditional Home Health Care1418 Electric Street, Dunmore, PA 18509Certificate of waiverJul 23, 2028

National Provider Directory

National Provider Directory

Locations

1439 Monroe Ave
Ste 6
Dunmore, PA 18509
Phone (570) 319-0221

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1962870238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W DRINKER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121913",
            "telephone_number": "570-207-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 ELECTRIC ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092015",
            "telephone_number": "570-507-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "SUPANEK",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "570-207-9286"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "28573601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DEPARMTNET OF HEALTH",
            "identifier": "28573601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.