Organization Active NPI

Bethesda Care

Doing business as Keston Care

  • In Home Supportive Care Agency
  • Chapel Hill, NC
National Provider Identifier
1962411942
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC1170 Issued in NC
Legal business name
BETHESDA CARE
Doing business as
Keston Care
Practice address
11312 US 15-501 North
Suite 400 Chatham Crossing
Chapel Hill, NC 27517
Phone
(919) 967-0507
Fax
(919) 967-1371
NPI assigned
Aug 7, 2006
Last updated
Jul 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Mr. Rudolph Hooland
Title
Senior Partner
Phone
91996705070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1170 NC
In Home Supportive Care Agency 253Z00000X HC1170 NC Primary

Addresses

Primary practice location

11312 US 15-501 North
Suite 400 Chatham Crossing
Chapel Hill, NC 27517

Mailing address

11312 US 15-501 North
Suite 400 Chatham Crossing
Chapel Hill, NC 27517
Phone (919) 967-0507

Other identifiers 2

IdentifierTypeStateIssuer
6600279MedicaidNC
34008537MedicaidNC

Other names 1

  • Keston Care Doing business as

National Provider Directory

National Provider Directory

Locations

11312 Chatham Xing
Ste 400
Chapel Hill, NC 27517
Phone (919) 967-0507

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1962411942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 US 15-501 NORTH",
            "address_2": "SUITE 400 CHATHAM CROSSING",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517",
            "telephone_number": "919-967-0507",
            "fax_number": "919-967-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312 US 15-501 NORTH",
            "address_2": "SUITE 400 CHATHAM CROSSING",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517",
            "telephone_number": "919-967-0507",
            "fax_number": "919-967-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "HOOLAND",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "91996705070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1170",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC1170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600279",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34008537",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keston Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.