Bethany Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-082-014 Issued in GA

Legal business name

BETHANY HOME, INC

Doing business as

Bethany Home Nursing Center

Practice address

466 S Gray St
Millen, GA 30442-5237

Phone

(478) 982-2531

Fax

(478) 982-3131

NPI assigned

Oct 7, 2005

Last updated

May 1, 2008By 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

Mrs. Becky Dasher Livingston

Title

Ceo

Phone

(912) 764-7960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bethany Home Nursing Center Doing business as

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1952399503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304420600",
            "telephone_number": "478-982-2531",
            "fax_number": "478-982-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 S GRAY ST",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304425237",
            "telephone_number": "478-982-2531",
            "fax_number": "478-982-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "DASHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-764-7960",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-082-014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00140269A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Home Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keturah Louise Burns Alexander, APRN, FNP-BC
• June R Anderson
• Ashley Ayers, MCD, CCC-SLP
• Jean M Bailey, NP-C
• Arilyn Baldowski
• Bio-Medical Applications of Georgia, Inc. (Bma Millen)
• Julie G. Bird, APRN
• Teresa Buckles
• Burke Hospital Company (Burke Health Primary Care)
• Burke Hospital Company (Burke Orthopedics)

• Skilled Nursing Facility in Millen, GA
• Providers in Millen, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.