Provider Demographics
NPI:1386641140
Name:THE BETHEL NURSING HOME COMPANY INC
Entity type:Organization
Organization Name:THE BETHEL NURSING HOME COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT FINANCE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-739-6700
Mailing Address - Street 1:67 SPRINGVALE RD
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-1343
Mailing Address - Country:US
Mailing Address - Phone:914-739-6700
Mailing Address - Fax:914-736-0092
Practice Address - Street 1:19 NARRAGANSETT AVE
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-2843
Practice Address - Country:US
Practice Address - Phone:914-941-7300
Practice Address - Fax:914-941-4281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00309242Medicaid
NY335490Medicare Oscar/Certification
NY00309242Medicaid