Organization Active NPI

Bethel Home and Services, Inc.

Doing business as Helping Hands Home Services

  • Assisted Living Facility
  • Viroqua, WI
National Provider Identifier
1386631240
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BETHEL HOME AND SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100012558MedicaidWI
20151800MedicaidWI

Other names 1

  • Helping Hands Home Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0396489Bethel Home614 S Rock Ave, Viroqua, WI 54665Certificate of waiverAug 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.

Verify at the official NPI Registry.