Organization Active NPI

Bethany Tender Love and Care

  • Adult Care Home Facility
  • Burlington, NC
National Provider Identifier
1548480718
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-001-047 Issued in NC
Legal business name
BETHANY TENDER LOVE AND CARE
Practice address
532 Greenwood Dr
Burlington, NC 27217-7932
Phone
(336) 584-2763
NPI assigned
Apr 27, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mrs. Ethel G Woods
Title
Owner
Phone
(336) 584-2763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-001-047 NC Primary

Addresses

Primary practice location

532 Greenwood Dr
Burlington, NC 27217-7932

Mailing address

532 Greenwood Dr
Burlington, NC 27217-7932
Phone (336) 584-2763

Other identifiers 1

IdentifierTypeStateIssuer
7802375MedicaidNC

National Provider Directory

National Provider Directory

Locations

532 Greenwood Dr
Burlington, NC 27217
Phone (336) 584-2763

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1548480718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 GREENWOOD DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272177932",
            "telephone_number": "336-584-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 GREENWOOD DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272177932",
            "telephone_number": "336-584-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY TENDER LOVE AND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-584-2763",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-001-047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802375",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.