Bethany Home Inc

LBN: Bethany Home Inc
Bethany Home Inc is an health care organization with primary practice located at 1226 Berlin St , Waupaca WI 54981-1991. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Bethany Home Inc can be contacted via phone (715) 258-5521, or through Sontag, Shelly K via phone (715) 942-1400.

Contact Information

Primary practice address
1226 Berlin St Waupaca WI 54981-1991
Phone: (715) 258-5521
Fax: (715) 258-7051
Website:
Map and Directions
Authorized official contact:
Name: Sontag, Shelly K
Phone: (715) 942-1400

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 1874 Wisconsin
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 963 Wisconsin

Profile Details

NPI number 1215934963
LBN Legal business name Bethany Home Inc
DBA Doing business as
Authorized official Sontag, Shelly K
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 16th, 2023 - about last year

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 1215934963 NPPES
Wisconsin MEDICAID 21054200

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