Healthcare Provider Details

I. General information

NPI: 1881551521
Provider Name (Legal Business Name): MITNASSAH HOME HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 WIN DR OFC 107
BETHLEHEM PA
18017-7061
US

IV. Provider business mailing address

1240 WIN DR
BETHLEHEM PA
18017-7061
US

V. Phone/Fax

Practice location:
  • Phone: 855-288-1100
  • Fax:
Mailing address:
  • Phone: 855-288-1100
  • Fax:

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: ANGELETTE DEBOSE
Title or Position: CEO
Credential:
Phone: 908-487-5942