Bethesda Home Healthcare Provider LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BETHESDA HOME HEALTHCARE PROVIDER LLC

Practice address

5815 Market St Ste 6
Youngstown, OH 44512-2915

Phone

(330) 330-2202

Fax

(330) 953-1801

NPI assigned

Nov 28, 2022

Organization subpart

Yes

Parent organization

BETHESDA HOME HEALTHCARE PROVIDER LLCAs reported in NPPES

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

Authorized official

Name

Ms. Denese P Hurt

Title

Owner

Phone

(330) 330-2202

Specialties & licenses 1

Addresses

Electronic endpoints 3

Locations

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1699485938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 S BUFFALO DR # A101-425",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477479",
            "telephone_number": "330-330-2202",
            "fax_number": "330-951-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 MARKET ST STE 6",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445122915",
            "telephone_number": "330-330-2202",
            "fax_number": "330-953-1801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4045 S Buffalo Dr # A101425",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891477479",
            "country_code": "US",
            "telephone_number": "330-330-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETHESDA HOME HEALTHCARE PROVIDER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETHESDA HOME HEALTHCARE PROVIDER LLC",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "HURT",
        "authorized_official_first_name": "DENESE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-330-2202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bethesdahomehealthcareprovider@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5815 Market St Ste 6",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445122915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bethesdahomehealthcareprovider@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4045 S Buffalo Dr # A101425",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891477479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bethesdahomehealthcareprovider@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5815 Market St Ste 6",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445122915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Youngstown, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.