Organization Active NPI

Bethany HH of Lake Jackson

  • Home Health Agency
  • Lake Jackson, TX
National Provider Identifier
1457652646
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BETHANY HH OF LAKE JACKSON
Doing business as
Bethany Home Health Services
Practice address
207 That Way St
Suite C
Lake Jackson, TX 77566-5211
Phone
(979) 297-1414
Fax
(979) 297-1818
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Bradley P Lassiter
Title
Ceo
Phone
(972) 248-2441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

207 That Way St
Suite C
Lake Jackson, TX 77566-5211

Mailing address

PO Box 260875
Plano, TX 75026-0875
Phone (972) 248-2441

Other names 1

  • Bethany Home Health Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1457652646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260875",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750260875",
            "telephone_number": "972-248-2441",
            "fax_number": "972-248-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HH OF LAKE JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "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"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.