Organization Active NPI

Bethany HH of Weatherford, LLC

Doing business as Bethany Home Health Services

  • Home Health Agency
  • Weatherford, TX
National Provider Identifier
1053666248
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BETHANY HH OF WEATHERFORD, LLC
Doing business as
Bethany Home Health Services
Practice address
1320 Santa Fe Dr
#200
Weatherford, TX 76086-5875
Phone
(817) 341-1436
Fax
(817) 341-2163
NPI assigned
Jul 13, 2012
Last updated
Sep 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Bradley P. LassiterNPI 1730553959
Title
Ceo
Phone
(972) 248-2441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1320 Santa Fe Dr
#200
Weatherford, TX 76086-5875

Mailing address

5000 Legacy Dr
Suite 360
Plano, TX 75024-3100
Phone (972) 248-2441

Other identifiers 1

IdentifierTypeStateIssuer
3345365-01MedicaidTX

Other names 1

  • Bethany Home Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

1320 Santa Fe Dr
Ste 200
Weatherford, TX 76086
Phone (817) 341-1436

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1053666248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LEGACY DR",
            "address_2": "SUITE 360",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243100",
            "telephone_number": "972-248-2441",
            "fax_number": "972-248-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SANTA FE DR",
            "address_2": "#200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865875",
            "telephone_number": "817-341-1436",
            "fax_number": "817-341-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HH OF WEATHERFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-248-2441"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3345365-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.