Bethesda, Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

009725 Issued in TX

Legal business name

BETHESDA, INCORPORATED

Practice address

873 S Stemmons Fwy Ste 100
Lewisville, TX 75067-5351

Phone

(972) 459-9999

NPI assigned

May 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kehinde Romoke Amosun, RN

Title

Administrator/Don

Phone

(972) 420-0741

Specialties & licenses 1

Addresses

Other names 1

• The Potter's Healthcare Services Doing business as

Listed as

The Potters Healthcare ServicesCCN 453181

Ownership

Proprietary

Certified

Nov 8, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1003862947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 S STEMMONS FWY STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750675351",
            "telephone_number": "972-459-9999",
            "fax_number": "972-315-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 S STEMMONS FWY STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750675351",
            "telephone_number": "972-459-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Hebron Pkwy",
            "address_2": "Suite 501",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750575003",
            "country_code": "US",
            "telephone_number": "972-459-9999",
            "fax_number": "972-315-2065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETHESDA, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "AMOSUN",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_middle_name": "ROMOKE",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "972-420-0741",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Potter's Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Potter's Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.