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TRADITIONAL HOME CARE LLC
NPI 1962870238
In Home Supportive Care in Dunmore, PA

Active since September 03, 2015CLIA Certified · 4 labs
1439 MONROE AVE STE 6, DUNMORE, PA 18509(570) 507-9420 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 8, 2020, Sep 13, 2019 (2 updates tracked since 2019).

About Traditional Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRADITIONAL HOME CARE LLC (NPI 1962870238) is a healthcare organization registered as an in home supportive care in Dunmore, Pennsylvania and active in the NPI registry since September 2015. The organization holds 4 active CLIA laboratory certificates and lists Doreen Nixon, Registered Nurse, as its authorized official.

NPPES Registry Identity

NPI1962870238
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameTRADITIONAL HOME CARE LLC
Location Address1439 MONROE AVE STE 6Dunmore, PA 18509-2497
Mailing Address113 W Drinker StDunmore, PA 18512-1913 · (570) 207-9286
Phone(570) 507-9420
Organization SubpartNo
Authorized OfficialDoreen NixonRegistered Nurse · (570) 507-9420
Enumeration DateSeptember 3, 2015
Last NPPES UpdateJanuary 8, 20202 updates tracked since enumeration
✔ NPI 1962870238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License✔ Licensed in PA · 28573601
Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

1439 MONROE AVE STE 6, Dunmore, PA 18509
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Other Identifiers 1

Other28573601PA · Pa Deparmtnet Of Health

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2276024

Traditional Home Care LLC · Honesdale, PA
Active · expires Jan 31, 2027
CLIA Number39D2276024
Laboratory TypeHome Care Agency
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDoreen Nixon
Laboratory Phone(570) 207-9286
Laboratory LocationTraditional Home Care LLC604 Main Street, Honesdale, PA 18431
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2276027

Traditional Home Care LLC · Bethlehem, PA
Active · expires Jan 31, 2027
CLIA Number39D2276027
Laboratory TypeHome Care Agency
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDoreen Nixon
Laboratory Phone(570) 207-9286
Laboratory LocationTraditional Home Care LLC52 Highland Ave, Ste C, Bethlehem, PA 18017
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2276028

Traditional Home Care LLC · Montrose, PA
Active · expires Jan 31, 2027
CLIA Number39D2276028
Laboratory TypeHome Care Agency
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDoreen Nixon
Laboratory Phone(570) 207-9286
Laboratory LocationTraditional Home Care LLC16501 Pa-706 1st Floor Suite 3, Montrose, PA 18801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2151861

Traditional Home Care LLC · Dunmore, PA
Active · expires Jul 29, 2026
CLIA Number39D2151861
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorShawn Garrick
Laboratory Phone(570) 507-9420
Laboratory LocationTraditional Home Care LLC1418 Electric Street, Dunmore, PA 18509
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2188962

Traditional Home Care · Wilkes Barre, PA
Expired · Jul 23, 2026
CLIA Number39D2188962
Laboratory TypeHome Care Agency
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorDoreen Nixon
Laboratory Phone(570) 207-9286
Laboratory LocationTraditional Home Care1151 Route 315, Wilkes Barre, PA 18702
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2188964

Traditional Home Care · Berwick, PA
Expired · Jul 23, 2026
CLIA Number39D2188964
Laboratory TypeHome Care Agency
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorDoreen Nixon
Laboratory Phone(570) 207-9286
Laboratory LocationTraditional Home Care120 East Thrid Street, Berwick, PA 18603
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traditional Home Care LLC's NPI number?

The NPI number for Traditional Home Care LLC is 1962870238. It was assigned to this organization in the NPPES registry on September 3, 2015.

Where is Traditional Home Care LLC located?

Traditional Home Care LLC is located at 1439 Monroe Ave Ste 6, Dunmore, PA 18509. The listed phone number is (570) 507-9420.

What is Traditional Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Traditional Home Care LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Traditional Home Care LLC was last updated on January 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.