NPIMap

Organization Active NPI

Bethamy Living Center LTD

Doing business as Comprehensive Healthcare of Clearwater

  • Skilled Nursing Facility
  • Clearwater, FL
National Provider Identifier
1851379465
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1083095 Issued in FL
Legal business name
BETHAMY LIVING CENTER LTD
Doing business as
Comprehensive Healthcare of Clearwater
Practice address
2055 Palmetto St
Clearwater, FL 33756
Phone
(727) 461-6613
Fax
(727) 442-2835
NPI assigned
Jan 4, 2006
Last updated
Jul 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Mr. Brian Reynolds
Title
Ceo
Phone
(410) 513-8738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1083095 FL Primary

Addresses

Primary practice location

2055 Palmetto St
Clearwater, FL 33756

Mailing address

2055 Palmetto St
Clearwater, FL 33756
Phone (727) 461-6613

Other identifiers 1

IdentifierTypeStateIssuer
200956MedicaidFL

Other names 1

  • Comprehensive Healthcare of Clearwater Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1851379465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 PALMETTO ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-461-6613",
            "fax_number": "727-442-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 PALMETTO ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-461-6613",
            "fax_number": "727-442-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHAMY LIVING CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-513-8738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1083095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200956",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Healthcare of Clearwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.