Bethel Home, Inc.

LBN: Bethel Home, Inc.
Bethel Home, Inc. is an health care organization with primary practice located at 225 N Eagle St , Oshkosh WI 54902-4125. 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. Bethel Home, Inc. can be contacted via phone (920) 235-4653, or through Kern, Richard A. via phone (920) 232-5220.

Contact Information

Primary practice address
225 N Eagle St Oshkosh WI 54902-4125
Phone: (920) 235-4653
Fax: (920) 235-2771
Website:
Map and Directions
Authorized official contact:
Name: Kern, Richard A. BBA, MBA, CPA
Phone: (920) 232-5220

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2005 Wisconsin

Profile Details

NPI number 1124081229
LBN Legal business name Bethel Home, Inc.
DBA Doing business as
Authorized official Kern, Richard A. BBA, MBA, CPA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 28th, 2010 - about 15 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 1124081229 NPPES
Wisconsin MEDICAID 20127400

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