Healthcare Provider Details
I. General information
NPI: 1891636734
Provider Name (Legal Business Name): JOS HOME ACCESSIBILITY CONTRACTORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 E BROAD STREET 130-1264
BETHLEHEM PA
18018
US
IV. Provider business mailing address
1 E BROAD STREET 130-1264
BETHLEHEM PA
18018
US
V. Phone/Fax
- Phone: 484-276-5836
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171WH0202X |
| Taxonomy | Home Modifications Contractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOLENE
TIMMONS
Title or Position: MEMBER
Credential:
Phone: 484-276-5836