Bethany Retirement Home, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9305L001 Issued in NY

Legal business name

BETHANY RETIREMENT HOME, INC.

Practice address

3005 Watkins Rd
Horseheads, NY 14845-1800

Phone

(607) 739-8711

Fax

(607) 796-2566

NPI assigned

Feb 26, 2007

Last updated

Jul 7, 2015By 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

Mr. Michael S. Kiser

Title

Director of Finance

Phone

(607) 378-6574

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Bethany Retirement Home 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.

• Bethany Retirement Home, Inc.

  • Assisted Living Facility
  • Horseheads, NY
  • NPI 1588579890
  NPD tax ID

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1578699500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 WATKINS RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148451800",
            "telephone_number": "607-739-8711",
            "fax_number": "607-796-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 WATKINS RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148451800",
            "telephone_number": "607-739-8711",
            "fax_number": "607-796-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "KISER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "607-378-6574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9305L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02057014",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01457556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly E Bartle-Bush, LCSW
• Miranda Daniell Beeman, DO
• Robert P. Bellohusen, D.M.D.
• Jennifer Lea Bempkins, D.D.S.
• Bethany Nursing Home and Health Related Facility, Inc.
• Bethany Retirement Home, Inc.
• Bethany Village Primary Care Network, Inc. (Finger Lakes Urgent Care and Primary Care Medicine)
• Thomas Beyer
• Karena Marie Bifano, RN
• Justin Bigg, PHARMD

• Home Health Agency in Horseheads, NY
• Providers in Horseheads, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.