Healthcare Provider Details

I. General information

NPI: 1063539682
Provider Name (Legal Business Name): BETHESDA CAREGIVERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 06/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 ASHLAND AVE
ZANESVILLE OH
43701-2402
US

IV. Provider business mailing address

1330 ASHLAND AVE
ZANESVILLE OH
43701-2402
US

V. Phone/Fax

Practice location:
  • Phone: 740-454-4741
  • Fax: 740-454-3358
Mailing address:
  • Phone: 740-454-4741
  • Fax: 740-454-3358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL D MASTERSON
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 740-454-4637