Bethamy Enterprises Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

HAL080-006 Issued in NC

Legal business name

BETHAMY ENTERPRISES INC.

Practice address

909 N Salisbury Ave
Spencer, NC 28159-1828

Phone

(704) 633-1985

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Lane Morris

Title

Administrator

Phone

(704) 633-1985

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1508993866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N SALISBURY AVE",
            "city": "SPENCER",
            "state": "NC",
            "postal_code": "281591828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N SALISBURY AVE",
            "city": "SPENCER",
            "state": "NC",
            "postal_code": "281591828",
            "telephone_number": "704-633-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHAMY ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-633-1985",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "HAL080-006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780-1221",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 3D & K Home Care Agency, L.L.C.
• Sheila Abbott, OTR
• Bethamy Enterprises Inc
• Jennifer Marie Bishop, COTA
• Erin Britton, SLP, CCC
• Cabarrus Rowan Community Health Centers, Inc.
• Carolinas Physicians Network Inc
• Carolinas Physicians Network Inc

• All providers in Spencer, NC
• Exclusive Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.