Bethany Home, Inc.
Organization Active NPI Skilled Nursing Facility · Vidalia, GA
NPI 1821057100 · NPPES record last updated Jan 13, 2010
Key facts
- NPI
- 1821057100
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1138015 (GA)
- Legal business name
- BETHANY HOME, INC.
- Practice address
- 1305 East North St
Vidalia, GA 30474 - Phone
- (912) 537-7922
- Fax
- (912) 537-0216
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Sharron Winge
- Title
- Administrator
- Phone
- (912) 537-7922
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1138015 | GA | Yes |
Addresses
Primary practice location
1305 East North St
Vidalia, GA 30474
Mailing address
1305 East North St
Vidalia, GA 30474
Phone (912) 537-7922
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00140258B | Medicaid | GA | |
| 00140258A | Medicaid | GA |
Other names
- Bethany Nursing Center of Vidalia
Other providers in Vidalia, GA
- Cindy Blissett Beckham
- Robert Andrew Bell
- Mary W Bennett
- Emily Paige Berryhill
- Skye Besier
- Jacqueline Denise Betts
- Bhimani Internal Medicine
- Bio-Medical Applications of Georgia, Inc.
- Benjamin Roland Black
- Blount Youth Home of Georgia, Inc
All providers in Vidalia, GA · Skilled Nursing Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.