Bethany Home Health Care

Organization Active NPI Home Health Agency · Council Bluffs, IA

NPI 1306021340 · NPPES record last updated Jan 9, 2008

Key facts

NPI
1306021340
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
089615 (IA)
Legal business name
BETHANY HOME HEALTH CARE
Practice address
11 Elliott St
Council Bluffs, IA 51503-0223
Phone
(712) 310-4455
Fax
(712) 329-4058
NPI assigned
Jan 9, 2008
Organization subpart
Yes
Parent organization (as reported)
BETHANY LUTHERAN HOME

Authorized official

Name
Mrs. Patricia Michelle Otten, RN, C
Title
Director
Phone
(712) 310-4455

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Bethany Home Health Care (2 organizations share this tax ID)
Part of
Bethany Home Health Care

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 089615 IA Yes

Addresses

Primary practice location

11 Elliott St
Council Bluffs, IA 51503-0223

Mailing address

11 Elliott St
Council Bluffs, IA 51503-0223
Phone (712) 310-4455

Other providers in Council Bluffs, IA

All providers in Council Bluffs, IA · Home Health Agency in Iowa

Sources for this page

Verify at the official NPI Registry.