Bethany Home Care

LBN: Fmm Home Care Corporation
Bethany Home Care is an health care organization with primary practice located at 11481 Heacock St Suite 130, Moreno Valley CA 92557-7906. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Fmm Home Care Corporation can be contacted via phone (951) 924-7751, or through Dizon, Dolores via phone (951) 924-7751.

Contact Information

Primary practice address
11481 Heacock St Suite 130 Moreno Valley CA 92557-7906
Fax: (951) 924-9042
Website:
Authorized official contact:
Name: Dizon, Dolores

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 250000608 California

Profile Details

NPI number 1487613147
LBN Legal business name Fmm Home Care Corporation
DBA Doing business as Bethany Home Care
Authorized official Dizon, Dolores
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 21st, 2006
Last updated Feb 12th, 2018 - about 6 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 1487613147 NPPES
California MEDICAID 557619

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