Active NPI
Bethel Methodist Home
- Adult Care Home Facility
- Croton on Hudson, NY
National Provider Identifier
1245774629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02922714 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Bethel Methodist Home
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Valhalla, NY
- NPI 1588114284
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.