Bethany Home Health of Lake Jackson LP

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BETHANY HOME HEALTH OF LAKE JACKSON LP

Practice address

18333 Preston Rd
Suite 410
Dallas, TX 75252-5466

Phone

(972) 248-2441

Fax

(972) 248-0773

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bradley P. Lassiter, CEO

Title

Ceo

Phone

(972) 248-2441

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1356520233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 THAT WAY ST",
            "address_2": "SUITE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665211",
            "telephone_number": "979-297-1414",
            "fax_number": "979-297-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18333 PRESTON RD",
            "address_2": "SUITE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525466",
            "telephone_number": "972-248-2441",
            "fax_number": "972-248-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOME HEALTH OF LAKE JACKSON LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-248-2441",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Bestul, COTA/L
• Arlene Betancourt, M.D.
• Nicolette Betancourt
• Yury Dianne Betancourt, OTR
• David Betancourth, M.D.
• Bethany Home Health of San Antonio, LP
• Bethel Medical Center, PLLC
• Pamela Renee Bethel-Wilson, NP
• Eric Bethel
• Bethesda Assisted Living Center

• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.