Active NPI
Bethel Home and Services, Inc.
Doing business as Helping Hands Home Services
- Assisted Living Facility
- Viroqua, WI
National Provider Identifier
1386631240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BETHEL HOME AND SERVICES, INC.
- Doing business as
- Helping Hands Home Services
- Practice address
- 614 South Rock Avenue
Viroqua, WI 54665-1936 - Phone
- (608) 637-2171
- Fax
- (608) 637-8303
- NPI assigned
- Oct 5, 2005
- Last updated
- Aug 16, 2024
- Organization subpart
- Yes
- Parent organization
- BETHEL HOME AND SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Debra Kay Stout Tewalt, CSW
- Title
- Operations Team Land
- Phone
- (608) 637-2171
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
614 South Rock Avenue
Viroqua, WI 54665-1936
Mailing address
614 South Rock Avenue
Viroqua, WI 54665-1936
Phone (608) 637-6355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100012558 | Medicaid | WI | |
| 20151800 | Medicaid | WI |
Other names 1
- Helping Hands Home Services
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0396489 | Bethel Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Part of
- Bethel Home and Services Inc
Locations
614 S Rock Ave
Viroqua, WI 54665
Phone (608) 637-2171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723766400000",
"number": "1386631240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 SOUTH ROCK AVENUE",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546651936",
"telephone_number": "608-637-6355",
"fax_number": "608-637-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 SOUTH ROCK AVENUE",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546651936",
"telephone_number": "608-637-2171",
"fax_number": "608-637-8303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHEL HOME AND SERVICES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BETHEL HOME AND SERVICES",
"enumeration_date": "2005-10-05",
"last_updated": "2024-08-16",
"certification_date": "2022-03-01",
"status": "A",
"authorized_official_last_name": "STOUT TEWALT",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OPERATIONS TEAM LAND",
"authorized_official_telephone_number": "608-637-2171",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CSW"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100012558",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20151800",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Helping Hands Home Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.