Provider Demographics
NPI:1093945701
Name:BETHEL AMERICA HEALTH CARE LLC
Entity Type:Organization
Organization Name:BETHEL AMERICA HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YAMILET
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-770-9125
Mailing Address - Street 1:11104 W AIRPORT BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3016
Mailing Address - Country:US
Mailing Address - Phone:832-770-9125
Mailing Address - Fax:832-770-9253
Practice Address - Street 1:11104 W AIRPORT BLVD STE 107
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3016
Practice Address - Country:US
Practice Address - Phone:832-770-9125
Practice Address - Fax:832-770-9253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
68783251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health