Bethel Care Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-031-012 Issued in NC

Legal business name

BETHEL CARE HOME, INC.

Practice address

1051 Firetower Rd
Rose Hill, NC 28458-8414

Phone

(910) 289-4202

Fax

(910) 289-4202

NPI assigned

Jun 1, 2007

Last updated

Aug 9, 2007By 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

Ms. Teresa J Morgan

Title

Supervisor in Charge

Phone

(910) 289-4202

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1568664647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 FIRETOWER RD",
            "city": "ROSE HILL",
            "state": "NC",
            "postal_code": "284588414",
            "telephone_number": "910-289-4202",
            "fax_number": "910-289-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 FIRETOWER RD",
            "city": "ROSE HILL",
            "state": "NC",
            "postal_code": "284588414",
            "telephone_number": "910-289-4202",
            "fax_number": "910-289-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SUPERVISOR IN CHARGE",
        "authorized_official_telephone_number": "910-289-4202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-031-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803173",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Rose Hill, NC
• Providers in Rose Hill, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.