Organization Active NPI

Bethel Methodist Home

  • Adult Care Home Facility
  • Croton on Hudson, NY
National Provider Identifier
1245774629
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
BETHEL METHODIST HOME
Practice address
67 Springvale Rd
Croton on Hudson, NY 10520-1343
Phone
(914) 739-6700
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Anastasios Markopoulos
Title
Cfo
Phone
(914) 739-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

67 Springvale Rd
Croton on Hudson, NY 10520-1343

Mailing address

51 Grasslands Rd
Valhalla, NY 10595-1543

Other identifiers 1

IdentifierTypeStateIssuer
02922714MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Bethel Methodist Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1245774629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GRASSLANDS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SPRINGVALE RD",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201343",
            "telephone_number": "914-739-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL METHODIST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "MARKOPOULOS",
        "authorized_official_first_name": "ANASTASIOS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "914-739-6700"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02922714",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.