Bethany Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BETHANY HOME CARE LLC

Practice address

1821 E 10TH St
Sioux Falls, SD 57103-1806

Phone

(605) 215-4806

NPI assigned

Dec 28, 2019

Last updated

Dec 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Queencilia Edmond Ngandu

Title

Managing Director

Phone

(605) 215-4806

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577491200000",
    "number": "1871132514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 E 10TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571031806",
            "telephone_number": "605-215-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 E 10TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571031806",
            "telephone_number": "605-215-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-28",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A",
        "authorized_official_last_name": "NGANDU",
        "authorized_official_first_name": "QUEENCILIA",
        "authorized_official_middle_name": "EDMOND",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "605-215-4806"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• In Home Supportive Care Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; 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.