Healthcare Provider Details

I. General information

NPI: 1912794744
Provider Name (Legal Business Name): S&S COMMUNITY HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 LARRY HOLMES DR STE 200
EASTON PA
18042-7720
US

IV. Provider business mailing address

101 LARRY HOLMES DR STE 200
EASTON PA
18042-7720
US

V. Phone/Fax

Practice location:
  • Phone: 908-538-8904
  • Fax:
Mailing address:
  • Phone: 908-538-8904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SARIYAH SARAH BRYANT
Title or Position: OWNER
Credential:
Phone: 908-538-8904