Bethany Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

379186 Issued in MN

Legal business name

BETHANY HOME HEALTH, INC

Doing business as

Bethany Assisted Living
Bethany Home Health
Bethany In Home Services

Practice address

903 Hilligoss Blvd SE
Fosston, MN 56542-1541

Phone

(218) 280-1609

Fax

(218) 435-1143

NPI assigned

Feb 16, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

BETHANY BOARD AND LODGE, INCAs reported in NPPES

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

Authorized official

Name

Tyler McGlynnNPI 1215467139

Title

Administrator

Phone

(218) 280-1609

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 3

• Bethany Assisted Living Doing business as
• Bethany Home Health Doing business as
• Bethany In Home Services Doing business as

Part of

Bethany Board and Lodge Inc

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.

• Tyler McGlynn

  • Registered Nurse
  • Fosston, MN
  • NPI 1215467139
  NPD Authorized official

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1144769654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "FOSSTON",
            "state": "MN",
            "postal_code": "565420028",
            "telephone_number": "218-280-1609",
            "fax_number": "218-435-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 HILLIGOSS BLVD SE",
            "city": "FOSSTON",
            "state": "MN",
            "postal_code": "565421541",
            "telephone_number": "218-280-1609",
            "fax_number": "218-435-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOME HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETHANY BOARD AND LODGE, INC",
        "enumeration_date": "2017-02-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MCGLYNN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-280-1609"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "379186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A926615400",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A496997400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethany Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethany Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethany In Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Alto
• Vickie M Anderson, PT
• Carl George Baumann Jr., RPH
• Bethany Board and Lodge, Inc (Sunrise Customized Living)
• Bethany Board and Lodge, Inc (Bethany Assisted Living)
• Bradley W Neujahr OD PA (Northwest Eye Center)
• Peter ZQ Chen
• Chiropractic Health Clinic, Inc
• Breah Christianson, FNP
• Dakota Clinic LTD (Dakota Clinic LTD Fosston)

• Home Health Agency in Fosston, MN
• Providers in Fosston, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.