MEDICARE: BETHEL HOUSE 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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1295684454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETHEL HOUSE LLC

Provider Business Mailing Address
First Line	:	11812 N HIGHWOOD CT
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-2900
Country	:	US
Telephone Number	:	509-228-2547
Fax Number	:	509-473-9662

Provider Business Practice Location Address
First Line	:	11812 N HIGHWOOD CT
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-2900
Country	:	US
Telephone Number	:	509-228-2547
Fax Number	:	509-473-9662

Authorized Official
Title or Position	:	OWNER/REGISTERED NURSE
Name	:	DONNA BARRAGAN MORALES
Credential	:	RN
Telephone Number	:	509-228-2547

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “BETHEL HOUSE LLC ” Practice Location

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