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BETHESDA INCORPORATED NPI 1003862947


NPI Information

NPI: 1003862947
Provider Name: BETHESDA, INCORPORATED

Doing Business As: THE POTTER'S HEALTHCARE SERVICES

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 45D2198458

Address:
873 S STEMMONS FWY STE 100
LEWISVILLE, TX
ZIP 75067
Phone: (972) 459-9999
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BETHESDA, INCORPORATED is a home health in Lewisville, TX. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. BETHESDA, INCORPORATED NPI is 1003862947. The provider is registered as an organization entity type.
The provider Is Doing Business As The Potter's Healthcare Services.

The provider's business location address is:

873 S STEMMONS FWY STE 100
LEWISVILLE, TX
ZIP 75067-351
Phone: (972) 459-9999

The provider's authorized official is Kehinde Romoke Amosun .
The authorized official title is Administrator/don and has the following contact phone number (972) 420-0741.

The CLIA number assigned to this NPI record is 45D2198458 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 4/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health009725TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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