Provider Demographics
NPI:1073829388
Name:BETHANY CARES HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:BETHANY CARES HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /CEO
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHYBREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-521-2001
Mailing Address - Street 1:3637 S STATE ROAD 3
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-9682
Mailing Address - Country:US
Mailing Address - Phone:765-521-2001
Mailing Address - Fax:765-521-2007
Practice Address - Street 1:3637 S STATE ROAD 3
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-9682
Practice Address - Country:US
Practice Address - Phone:765-521-2001
Practice Address - Fax:765-521-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10-012408251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health