MEDICARE: BETHEL HEALTHCARE SERVICES INC

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	:	1275083925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETHEL HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	2046 RICHMOND HWY STE A
Second Line	:
City	:	STAFFORD
State	:	VA
Zip	:	22554-7276
Country	:	US
Telephone Number	:	703-260-1229
Fax Number	:

Provider Business Practice Location Address
First Line	:	2046 RICHMOND HWY STE A
Second Line	:
City	:	STAFFORD
State	:	VA
Zip	:	22554-7276
Country	:	US
Telephone Number	:	703-260-1229
Fax Number	:	703-982-7768

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JOANNA ADOMAKO-HANSO
Credential	:
Telephone Number	:	703-296-2887

Provider Enumeration Date	:	10/06/2016
Last Update Date	:	10/01/2024

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