N & R of Bethany, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031744 Issued in MO

Legal business name

N & R OF BETHANY, INC.

Doing business as

Bethany Care Center

Practice address

1305 S 7TH St
Bethany, MO 64424-1780

Phone

(660) 425-2273

Fax

(660) 425-4670

NPI assigned

Sep 21, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Hudspeth

Title

Coo Cfo

Phone

(573) 392-0316

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bethany Care Center Doing business as

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427044866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S 7TH ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644241780",
            "telephone_number": "660-425-2273",
            "fax_number": "660-425-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S 7TH ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644241780",
            "telephone_number": "660-425-2273",
            "fax_number": "660-425-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF BETHANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDSPETH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "COO CFO",
        "authorized_official_telephone_number": "573-392-0316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101776102",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "17091730",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Bethany, MO
• Providers in Bethany, MO by specialty
• Skilled Nursing Facility in Missouri

• 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.