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LEHIGH HUMAN SUPPORT SERVICES LLC NPI 1912499369


NPI Information

NPI: 1912499369
Provider Name: LEHIGH HUMAN SUPPORT SERVICES LLC

Former Legal Business Name: LEHIGH HUMAN SUPPORT SERVICES LLC

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
5020 HAMILTON BLVD
ALLENTOWN, PA
ZIP 18106
Phone: (484) 221-8752
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LEHIGH HUMAN SUPPORT SERVICES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Allentown, PA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. LEHIGH HUMAN SUPPORT SERVICES LLC NPI is 1912499369. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lehigh Human Support Services Llc.

The provider's business location address is:

5020 HAMILTON BLVD
ALLENTOWN, PA
ZIP 18106-188
Phone: (484) 221-8752
Fax: (610) 619-9096

The provider's authorized official is Adewale Alade Dosunmu .
The authorized official title is Owner/president and has the following contact phone number (484) 221-8752.

The enumeration date for this NPI number is 6/1/2018 and was last updated on 6/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesCER-00129046PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11024804850004MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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