Bethany HH of Waco LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BETHANY HH OF WACO LLC

Doing business as

Bethany Home Health of Waco LLC

Practice address

329 W Hwy 6
Suite B
Waco, TX 76710-5590

Phone

(254) 741-6451

Fax

(254) 741-6468

NPI assigned

Jul 10, 2009

Last updated

Sep 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bradley P. LassiterNPI 1730553959

Title

Ceo

Phone

(972) 248-2441

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bethany Home Health of Waco LLC Doing business as

Locations

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.

• Bradley Lassiter

  • Home Health Agency
  • Plano, TX
  • NPI 1730553959
  Authorized official Same address or phone

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1184853145",
    "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": "329 W HWY 6",
            "address_2": "SUITE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105590",
            "telephone_number": "254-741-6451",
            "fax_number": "254-741-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HH OF WACO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2193088-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Home Health of Waco LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeana Lynn Benwill, M.D.
• Patricia A Berg, WHNP
• Courtney Bermel, RBT
• Bill H. Berryhill, M.D.
• Amy Beseda, LPC
• Presley Bettge
• Erin Alayne Betts, COTA
• Adam Beyer, D.O.
• David Henry Beyer Jr., MD
• Rebecca Diane Beyer, FNP

• Home Health Agency in Waco, TX
• Providers in Waco, 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 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.