Bethel Independent Home Care LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

BETHEL INDEPENDENT HOME CARE LLC

Practice address

5372 NW West Paden Cir
Port St Lucie, FL 34986-2710

Phone

(850) 680-0320

NPI assigned

Sep 18, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Rose Nirva Bernard

Title

Owner

Phone

(954) 404-2007

Specialties & licenses 1

Addresses

Tax ID family

Bethel Independent Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bethel Independent Home Care LLC

  • Developmentally Disabled Services Day Training Agency
  • Port St Lucie, FL
  • NPI 1891677514
  NPD tax ID

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1336976802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 NW WEST PADEN CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862710",
            "telephone_number": "850-680-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 NW WEST PADEN CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862710",
            "telephone_number": "850-680-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL INDEPENDENT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "NIRVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-404-2007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Homemaker in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.