Healthcare Provider Details

I. General information

NPI: 1386641140
Provider Name (Legal Business Name): THE BETHEL NURSING HOME COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 05/30/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 NARRAGANSETT AVE
OSSINING NY
10562-2843
US

IV. Provider business mailing address

67 SPRINGVALE RD
CROTON ON HUDSON NY
10520-1343
US

V. Phone/Fax

Practice location:
  • Phone: 914-941-7300
  • Fax: 914-941-4281
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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier00309242
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer

VIII. Authorized Official

Name: MS. JENNIFER ALEXANDER
Title or Position: PATIENT FINANCE MANAGER
Credential:
Phone: 914-739-6700