Bethany Home

LBN: Bethany Home
Bethany Home is an health care organization with primary practice located at 1005 Lincoln Ave , Dubuque IA 52001-3499. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Bethany Home can be contacted via phone (563) 556-5233, or through Manternach, Glinda Lee via phone (563) 556-5233.

Contact Information

Primary practice address
1005 Lincoln Ave Dubuque IA 52001-3499
Phone: (563) 556-5233
Fax: (563) 556-3078
Website:
Map and Directions
Authorized official contact:
Name: Manternach, Glinda Lee
Phone: (563) 556-5233

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X N-307 Iowa

Profile Details

NPI number 1053405803
LBN Legal business name Bethany Home
DBA Doing business as
Authorized official Manternach, Glinda Lee
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Oct 9th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053405803 NPPES
Iowa MEDICAID 0800219

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