Provider Demographics
NPI:1639412554
Name:BETHANY HEALTH CARE CENTER, INC.
Entity Type:Organization
Organization Name:BETHANY HEALTH CARE CENTER, INC.
Other - Org Name:BETHANY HEALTH CARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-270-8673
Mailing Address - Street 1:97 BETHANY RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-7237
Mailing Address - Country:US
Mailing Address - Phone:508-872-6750
Mailing Address - Fax:508-270-8601
Practice Address - Street 1:97 BETHANY RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-7237
Practice Address - Country:US
Practice Address - Phone:508-872-6750
Practice Address - Fax:508-270-8601
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETHANY HEALTH CARE CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-28
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR0400X
MA0928314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility