Healthcare Provider Details

I. General information

NPI: 1801448204
Provider Name (Legal Business Name): CARESPHERE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 08/11/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E BROAD ST STE 430
BETHLEHEM PA
18018-5963
US

IV. Provider business mailing address

1 E BROAD ST STE 430
BETHLEHEM PA
18018-5963
US

V. Phone/Fax

Practice location:
  • Phone: 610-868-1801
  • Fax: 610-954-9367
Mailing address:
  • Phone: 610-868-1801
  • Fax: 610-954-9367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YITA MANDEL
Title or Position: PRESIDENT
Credential:
Phone: 845-641-6113