Organization Active NPI

Bethany Care Stat Inc.

  • Home Health Agency
  • Floral Park, NY
National Provider Identifier
1780124420
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BETHANY CARE STAT INC.
Practice address
25610 Union Tpke
Floral Park, NY 11004-1253
Phone
(718) 347-1614
NPI assigned
Feb 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Isaac Timothese
Title
Owner
Phone
(718) 347-1614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

25610 Union Tpke
Floral Park, NY 11004-1253

Mailing address

11 Silver St
Elmont, NY 11003-3622
Phone (718) 347-1614

National Provider Directory

National Provider Directory

Locations

25610 Union Tpke
Glen Oaks, NY 11004
Phone (718) 347-1614

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1780124420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SILVER ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033622",
            "telephone_number": "718-347-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25610 UNION TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041253",
            "telephone_number": "718-347-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CARE STAT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "TIMOTHESE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-347-1614"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.