Provider Demographics
NPI:1730103417
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:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IMRE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERTALAN
Authorized Official - Suffix:
Authorized Official - Credentials:REVEREND
Authorized Official - Phone:724-238-2235
Mailing Address - Street 1:125 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:724-238-2235
Mailing Address - Fax:724-238-6101
Practice Address - Street 1:66 CAREY SCHOOL RD
Practice Address - Street 2:
Practice Address - City:LIGONIER
Practice Address - State:PA
Practice Address - Zip Code:15658-8758
Practice Address - Country:US
Practice Address - Phone:724-238-6711
Practice Address - Fax:724-238-3175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA021402314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007470600001Medicaid
PA0572OtherHIGHMARK BLUE CROSS/SHIEL
PA0007470600001Medicaid