Healthcare Provider Details

I. General information

NPI: 1639412554
Provider Name (Legal Business Name): BETHANY HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2013
Last Update Date: 08/23/2022
Certification Date: 06/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 BETHANY RD
FRAMINGHAM MA
01702-7237
US

IV. Provider business mailing address

97 BETHANY RD
FRAMINGHAM MA
01702-7237
US

V. Phone/Fax

Practice location:
  • Phone: 508-872-6750
  • Fax: 508-270-8601
Mailing address:
  • Phone: 508-872-6750
  • Fax: 508-270-8601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0928
License Number StateMA

VIII. Authorized Official

Name: MRS. BONNIE DRYDEN
Title or Position: CONTROLLER
Credential:
Phone: 508-270-8673