Provider Demographics
NPI:1154330447
Name:BETHLEN HOME OF THE HUNGARIAN REFORMED FEDERATION OF AMERICA
Entity Type:Organization
Organization Name:BETHLEN HOME OF THE HUNGARIAN REFORMED FEDERATION OF AMERICA
Other - Org Name:CONCORDIA HOME HEALTH OF BETHLEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-352-6200
Mailing Address - Street 1:135 KALASSAY DR
Mailing Address - Street 2:
Mailing Address - City:LIGONIER
Mailing Address - State:PA
Mailing Address - Zip Code:15658-8726
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:135 KALASSAY DR
Practice Address - Street 2:
Practice Address - City:LIGONIER
Practice Address - State:PA
Practice Address - Zip Code:15658-8726
Practice Address - Country:US
Practice Address - Phone:724-238-2613
Practice Address - Fax:724-238-2614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007470600004Medicaid
PA398058Medicare Oscar/Certification