Organization Active NPI

The Bethany House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Southern Pines, NC
National Provider Identifier
1073607735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
MHL-063-005 Issued in NC
Legal business name
THE BETHANY HOUSE, INC.
Doing business as
The Bethany House, Inc.
Practice address
240 E. Vermont Ave.
Southern Pines, NC 28387
Phone
(910) 692-0779
Fax
(910) 692-7834
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia Curtis
Title
Program Director
Phone
(910) 692-0779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X MHL-063-005 NC Primary

Addresses

Primary practice location

240 E. Vermont Ave.
Southern Pines, NC 28387

Mailing address

240 E. Vermont Ave.
Southern Pines, NC 28387
Phone (910) 692-0779

Other names 1

  • The Bethany House, Inc. Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2298932The Bethany House, Inc240 E Vermont Ave, Southern Pines, NC 28387Certificate of waiverFeb 11, 2028

National Provider Directory

National Provider Directory

Locations

240 E Vermont Ave
Southern Pines, NC 28387
Phone (910) 692-0779

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073607735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E. VERMONT AVE.",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "28387",
            "telephone_number": "910-692-0779",
            "fax_number": "910-692-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E. VERMONT AVE.",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "28387",
            "telephone_number": "910-692-0779",
            "fax_number": "910-692-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BETHANY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "910-692-0779"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "MHL-063-005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bethany House, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.