Healthcare Provider Details

I. General information

NPI: 1558369082
Provider Name (Legal Business Name): BETHEL NURSING & REHAB CENTER ADULT DAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 04/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 SPRINGVALE RD
CROTON NY
10520-1343
US

IV. Provider business mailing address

67 SPRINGVALE RD
CROTON NY
10520-1343
US

V. Phone/Fax

Practice location:
  • Phone: 914-739-6700
  • Fax: 914-736-0092
Mailing address:
  • Phone: 914-739-6700
  • Fax: 914-736-0092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ANASTASIOS MARKOPOULOS
Title or Position: CFO
Credential:
Phone: 914-739-6700