Organization Active NPI

Bethany Home Health of Longview, LP

Doing business as Bethany Home Health Services

  • Home Health Agency
  • Carthage, TX
National Provider Identifier
1831255850
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010028 Issued in TX
Legal business name
BETHANY HOME HEALTH OF LONGVIEW, LP
Doing business as
Bethany Home Health Services
Practice address
1515 W Panola St
Carthage, TX 75633-2349
Phone
(903) 690-9669
Fax
(903) 690-9691
NPI assigned
Dec 28, 2006
Last updated
Sep 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Mr. Bradley P LassiterNPI 1730553959
Title
Ceo
Phone
(972) 248-2441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010028 TX Primary

Addresses

Primary practice location

1515 W Panola St
Carthage, TX 75633-2349

Mailing address

5000 Legacy Dr
Suite 360
Plano, TX 75024-3100
Phone (972) 248-2441

Other identifiers 1

IdentifierTypeStateIssuer
1922692-01MedicaidTX

Other names 1

  • Bethany Home Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

1515 W Panola St
Carthage, TX 75633
Phone (903) 690-9669

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1831255850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LEGACY DR",
            "address_2": "SUITE 360",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243100",
            "telephone_number": "972-248-2441",
            "fax_number": "972-248-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W PANOLA ST",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756332349",
            "telephone_number": "903-690-9669",
            "fax_number": "903-690-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOME HEALTH OF LONGVIEW, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-248-2441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922692-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carthage, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.