Bethany Homes and Methodist Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000125 Issued in IL

Legal business name

BETHANY HOMES AND METHODIST HOSPITAL

Practice address

5025 N Paulina St
Chicago, IL 60640-2772

Phone

(773) 271-9040

Fax

(773) 271-2010

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Harold Marshall Reisler

Title

Controller

Phone

(773) 989-1465

Specialties & licenses 1

Addresses

Other names 1

• METHODIST HOSPITAL OF CHICAGO Doing business as

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407993116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402772",
            "telephone_number": "773-271-9040",
            "fax_number": "773-271-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402772",
            "telephone_number": "773-271-9040",
            "fax_number": "773-271-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOMES AND METHODIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REISLER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "773-989-1465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0000125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METHODIST HOSPITAL OF CHICAGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bethany Homes and Methodist Hospital
• Bethany Homes and Methodist Hospital
• Bethany Homes and Methodist Hospital
• Bethany Homes and Methodist Hospital
• Bethany Hosp Outpatient Pharmacy

• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.