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NPI 1467074252

NPI 1467074252 : BETHANY CARES HOME HEALTH SERVICES INC : MADISON, IN

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General NPI Number Information
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    NPI Number           |    1467074252
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    Entity Type          |    Organization 
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    Legal Business Name  |    BETHANY CARES HOME HEALTH SERVICES INC 
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Dates
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    Enumeration Date     |    05/14/2020
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    Last Update Date     |    11/27/2020
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Provider Practice Location Address
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    Address Line         |    221 CLIFTY DR 
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    City                 |    MADISON
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    State                |    IN
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    Zip                  |    47250-1603
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    Country              |    US
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    Telephone            |    812-274-3700
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    Fax                  |    812-274-3703
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Provider Business Mailing Address
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    Address Line         |    3637 S STATE ROAD 3 
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    City                 |    NEW CASTLE
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    State                |    IN
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    Zip                  |    47362-9682
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    Country              |    US
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    Telephone            |    812-274-3700
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    Fax                  |    812-274-3703
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BETHANY  WHYBREW 
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    Credential           |    RN, BSN, MBA
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    Telephone            |    812-274-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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