Provider Demographics
NPI:1174826283
Name:BETHINA HEALTHCARE, LLC
Entity Type:Organization
Organization Name:BETHINA HEALTHCARE, LLC
Other - Org Name:BETHINA HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CFO
Authorized Official - Prefix:
Authorized Official - First Name:AINA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:OBILANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-884-6186
Mailing Address - Street 1:1234 BIRCHSTONE DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1550
Mailing Address - Country:US
Mailing Address - Phone:832-884-6186
Mailing Address - Fax:713-779-8664
Practice Address - Street 1:1234 BIRCHSTONE DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1550
Practice Address - Country:US
Practice Address - Phone:832-884-6186
Practice Address - Fax:713-779-8664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-10
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health