MEDICARE: BETHEL HOMES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1265380208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETHEL HOMES LLC

Provider Business Mailing Address
First Line	:	1008 CARLTON BLVD
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-1501
Country	:	US
Telephone Number	:	517-513-0294
Fax Number	:

Provider Business Practice Location Address
First Line	:	1008 CARLTON BLVD
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-1501
Country	:	US
Telephone Number	:	517-513-0294
Fax Number	:

Authorized Official
Title or Position	:	HOME CARE PROVIDER
Name	:	FUNKE REBECCA MADUKA
Credential	:
Telephone Number	:	517-513-0294

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “BETHEL HOMES LLC ” Practice Location

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