Healthcare Provider Details

I. General information

NPI: 1902520711
Provider Name (Legal Business Name): THE BETHEL NURSING HOME COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 NARRAGANSETT AVE
OSSINING NY
10562-2843
US

IV. Provider business mailing address

17 NARRAGANSETT AVE
OSSINING NY
10562-2843
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

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