Organization Active NPI

Bethel Homecare Inc

  • Nursing Care Agency
  • Charlotte, NC
National Provider Identifier
1558710921
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HC3329 Issued in NC
Legal business name
BETHEL HOMECARE INC
Practice address
5500 Executive Center Dr Ste 214
Charlotte, NC 28212-8864
Phone
(704) 451-5531
Fax
(866) 523-4376
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Aniema J Udoh
Title
Director
Phone
(704) 451-5531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X HC3329 NC Primary

Addresses

Primary practice location

5500 Executive Center Dr Ste 214
Charlotte, NC 28212-8864

Mailing address

5500 Executive Center Dr Ste 214
Charlotte, NC 28212-8864
Phone (704) 451-5531

National Provider Directory

National Provider Directory
Tax ID family
Bethel Homecare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5500 Executive Center Dr
Ste 214
Charlotte, NC 28212

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1558710921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 EXECUTIVE CENTER DR STE 214",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128864",
            "telephone_number": "704-451-5531",
            "fax_number": "866-523-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 EXECUTIVE CENTER DR STE 214",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128864",
            "telephone_number": "704-451-5531",
            "fax_number": "866-523-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "UDOH",
        "authorized_official_first_name": "ANIEMA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-451-5531"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC3329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.