Organization Active NPI

Bethany Home Health of Southeast Texas, LP

Doing business as Bethany Home Health Services

  • Home Health Agency
  • Beaumont, TX
National Provider Identifier
1881781425
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011609 Issued in TX
Legal business name
BETHANY HOME HEALTH OF SOUTHEAST TEXAS, LP
Doing business as
Bethany Home Health Services
Practice address
2615 Calder St
Suite 202
Beaumont, TX 77702-1986
Phone
(409) 835-8911
Fax
(409) 839-8922
NPI assigned
Oct 6, 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
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 011609 TX Primary

Addresses

Primary practice location

2615 Calder St
Suite 202
Beaumont, TX 77702-1986

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0251779-01MedicaidTX

Other names 1

  • Bethany Home Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

2630 Laurel St
Beaumont, TX 77702
Phone (409) 835-8911

3819 Phelan Blvd
Beaumont, TX 77707
Phone (409) 363-5022

1807 S Houston Ave
Livingston, TX 77351
Phone (936) 328-8250

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1881781425",
    "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": "972-248-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CALDER ST",
            "address_2": "SUITE 202",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021986",
            "telephone_number": "409-835-8911",
            "fax_number": "409-839-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOME HEALTH OF SOUTHEAST TEXAS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "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"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251779-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, 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.