Provider Demographics
NPI:1801448204
Name:CARESPHERE LLC
Entity type:Organization
Organization Name:CARESPHERE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-641-6113
Mailing Address - Street 1:1 E BROAD ST STE 430
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5963
Mailing Address - Country:US
Mailing Address - Phone:610-868-1801
Mailing Address - Fax:610-954-9367
Practice Address - Street 1:1 E BROAD ST STE 430
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5963
Practice Address - Country:US
Practice Address - Phone:610-868-1801
Practice Address - Fax:610-954-9367
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARESPHERE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-15
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1038750390002Medicaid
PA1038750390003Medicaid
PA1038750390001Medicaid