MEDICARE: BETHEL NURSING & REHAB CENTER ADULT DAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558369082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETHEL NURSING & REHAB CENTER ADULT DAY

Provider Business Mailing Address
First Line	:	67 SPRINGVALE RD
Second Line	:
City	:	CROTON
State	:	NY
Zip	:	10520-1343
Country	:	US
Telephone Number	:	914-739-6700
Fax Number	:	914-736-0092

Provider Business Practice Location Address
First Line	:	67 SPRINGVALE RD
Second Line	:
City	:	CROTON
State	:	NY
Zip	:	10520-1343
Country	:	US
Telephone Number	:	914-739-6700
Fax Number	:	914-736-0092

Authorized Official
Title or Position	:	CFO
Name	:	ANASTASIOS MARKOPOULOS
Credential	:
Telephone Number	:	914-739-6700

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	04/22/2015

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