Provider Demographics
NPI:1902520711
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:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANASTASIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-739-6700
Mailing Address - Street 1:17 NARRAGANSETT AVE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2843
Mailing Address - Country:US
Mailing Address - Phone:914-739-6700
Mailing Address - Fax:
Practice Address - Street 1:17 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:914-739-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE BETHEL NURSING HOME COMPANY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care