Provider Demographics
NPI:1598539512
Name:BETH-EL HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:BETH-EL HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GODIVA
Authorized Official - Middle Name:CANDY
Authorized Official - Last Name:SAYSAY-BUNDU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:540-845-8692
Mailing Address - Street 1:24 ONVILLE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-3831
Mailing Address - Country:US
Mailing Address - Phone:540-845-8692
Mailing Address - Fax:540-930-0164
Practice Address - Street 1:24 ONVILLE RD STE 101
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-3831
Practice Address - Country:US
Practice Address - Phone:540-845-8692
Practice Address - Fax:540-930-0164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health