Bethany Home, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

BETHANY HOME, INC

Practice address

1863 Bethany Rd
Womelsdorf, PA 19567-9214

Phone

(610) 589-4501

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Taylor Birli

Title

Chief Executive Officer

Phone

(610) 589-4501

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hillary Fry Malone

  • Social Worker
  • Womelsdorf, PA
  • NPI 1033064118
  NPD (past)

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1952988842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1863 BETHANY RD",
            "city": "WOMELSDORF",
            "state": "PA",
            "postal_code": "195679214",
            "telephone_number": "610-589-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1863 BETHANY RD",
            "city": "WOMELSDORF",
            "state": "PA",
            "postal_code": "195679214",
            "telephone_number": "610-589-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "BIRLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "610-589-4501",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Elise Aulenbach, MT-BC
• Concern-Professional Services for Children, Youth & Families
• Conrad Weiser Medical Group P.C.
• Lauren Cordon, CPD, CLD (CBI)
• Curious Roots Wellness, LLC
• Christine M Dalton, COTA/L

• Emotionally Disturbed Childrens' Residential Treatment Facility in Womelsdorf, PA
• Providers in Womelsdorf, PA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.