Jactom Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0254 Issued in NC

Legal business name

JACTOM INC

Doing business as

Bethesda Health Care
Bethesda Health Care Facility

Practice address

3532 Dunn Road
Fayetteville, NC 28312

Phone

(910) 323-3223

Fax

(910) 323-0177

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Caroline B Horne

Title

Administrator

Phone

(910) 323-3223

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Bethesda Health Care Doing business as
• Bethesda Health Care Facility Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Skilled nursing facility certification: CCN 345212

Legal name

JACTOM INC

Doing business as

BETHESDA HEALTH CARE FACILITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1981

Last certification

Nov 1, 2024

Beds

85

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 25, 1976 in NC

Enrollment address

3532 Dunn Rd
Eastover, NC 28312-8894

Nursing home name

BETHESDA HEALTH CARE FACILITY

Listed as

Bethesda Health Care FacilityCCN 345212 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 1, 1981

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8582.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Bethesda Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bethesda Health Care Facility

  dba Bethesda Healthcare

  • Nursing Facility/Intermediate Care Facility
  • Eastover, NC
  • NPI 1205088143
  NPD tax ID

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ifeyinwa Juliana Okonkwo, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Fayetteville, NC
  • NPI 1154502185

  Nursing home

  Care Compare affiliation
• Adebukola Taiwo, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Fayetteville, NC
  • NPI 1902884364

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1992724157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 DUNN ROAD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128894",
            "telephone_number": "910-323-3223",
            "fax_number": "910-323-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 DUNN ROAD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28312",
            "telephone_number": "910-323-3223",
            "fax_number": "910-323-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACTOM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-323-3223"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405212",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00956",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethesda Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethesda Health Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Esther Jacobs
• Leon Jacobs, M.ED
• Olivia Shea Jacobson, MA, CCC-SLP
• Sarah Elizabeth Jacobson, DO
• Charles West Jacocks IV, MD
• Jagdish Lal MD PA (Rayconda Internal Medicine)
• Tahmida Jahangir, MD
• Haja Jallow-Konrat
• James D Douglass DDS PA
• James E Rice, DDS PA (Rice Dentistry of Fayetteville)

• Skilled Nursing Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.