Bethel House Independent Living

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

BETHEL HOUSE INDEPENDENT LIVING

Doing business as

Bethel House Independent Living

Practice address

79 Altera CT
Kissimmee, FL 34758-3908

Phone

(407) 732-1360

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Altide F Philogene

Title

Ceo

Phone

(407) 202-0483

Specialties & licenses 1

Addresses

Other names 1

• Bethel House Independent Living Doing business as

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1285400309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ALTERA CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583908",
            "telephone_number": "407-732-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ALTERA CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583908",
            "telephone_number": "407-732-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL HOUSE INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "PHILOGENE",
        "authorized_official_first_name": "ALTIDE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-202-0483"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel House Independent Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Aide in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.