Bethany Home Inc
LBN: Bethany Home Inc
Bethany Home Inc is an health care organization with primary practice located at 1226 Berlin St , Waupaca WI 54981-1991. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Bethany Home Inc can be contacted via phone (715) 258-5521, or through Sontag, Shelly K via phone (715) 942-1400.
Contact Information
Primary practice address
1226 Berlin St
Waupaca WI 54981-1991
Phone: (715) 258-5521
Fax: (715) 258-7051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 1874 | Wisconsin |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 963 | Wisconsin |
Profile Details
| NPI number | 1215934963 |
|---|---|
| LBN Legal business name | Bethany Home Inc |
| DBA Doing business as | |
| Authorized official | Sontag, Shelly K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Mar 16th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215934963 | NPPES |
| Wisconsin | MEDICAID | 21054200 |
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