Bethany HH of Prairie and Lakes, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BETHANY HH OF PRAIRIE AND LAKES, LLC

Practice address

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

Phone

(817) 341-1436

Fax

(817) 341-2163

NPI assigned

Dec 11, 2012

Organization subpart

No

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

Authorized official

Name

Bradley P. Lassiter

Title

Ceo

Phone

(972) 248-2441

Specialties & licenses 1

Addresses

Other names 1

• Bethany Home Health Services Doing business as

Locations

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1235474602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 PRESTON RD",
            "address_2": "SUITE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525466",
            "telephone_number": "972-248-2441",
            "fax_number": "972-248-2442"
        },
        {
            "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 PRAIRIE AND LAKES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "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": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Weatherford, TX
• Providers in Weatherford, 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 Dec 11, 2012; 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.