Provider Demographics
NPI:1750379715
Name:BETHANY HEALTH CARE CENTER, INC.
Entity type:Organization
Organization Name:BETHANY HEALTH CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/ADMINISTRAT
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:508-872-6720
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:508-872-6720
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:508-872-6720
Practice Address - Fax:508-270-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0928313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0920045Medicaid
MA0920045Medicaid