Bethany Home Society Of San Joaquin County, Inc.

LBN: Bethany Home Society Of San Joaquin County, Inc.
Bethany Home Society Of San Joaquin County, Inc. is an health care organization with primary practice located at 930 W Main St , Ripon CA 95366-2325. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Bethany Home Society Of San Joaquin County, Inc. can be contacted via phone (209) 599-4221, or through Lee, Andrew via phone (209) 599-4221.

Contact Information

Primary practice address
930 W Main St Ripon CA 95366-2325
Phone: (209) 599-4221
Fax: (209) 599-7332
Website:
Map and Directions
Authorized official contact:
Name: Lee, Andrew
Phone: (209) 599-4221

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100000015 California

Profile Details

NPI number 1487648135
LBN Legal business name Bethany Home Society Of San Joaquin County, Inc.
DBA Doing business as
Authorized official Lee, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Mar 11th, 2009 - 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 1487648135 NPPES
California MEDICAID ZZR05662F

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