BETHANY HOME HEALTH OF LAKE JACKSON LP (NPI# 1356520233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356520233 |
| Entity Type | Organization |
| Organization Name | BETHANY HOME HEALTH OF LAKE JACKSON LP |
| Practice Address |
18333 Preston Rd Suite 410 Dallas TX 75252-5466 |
| Mailing Address |
207 That Way St Suite C Lake Jackson TX 77566-5211 |
| Practice Telephone | 9722482441 |
| Practice Fax Number | 9722480773 |
| Mailing Telephone | 9792971414 |
| Mailing Fax Number | 9792971818 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | MR. BRADLEY P. LASSITER (CEO) |
| Authorized Official Telephone | 9722482441 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
18333 PRESTON RD SUITE 410 |
| City | DALLAS |
| State | TX |
| Zip Code | 75252-5466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881706851 | Massood Sadighi-nouri | Dentist | 18333 Preston Rd, Suite 180, Dallas, TX 75252 | 2006-08-31 |
| 1609102383 | Bonny S. Olney, D.o., P.a. | Family Medicine | 18333 Preston Rd, Suite 550, Dallas, TX 75252-5466 | 2009-10-30 |
| 1134392863 | Bonny S. Olney, D.o., P.a. | Clinic/Center | 18333 Preston Rd, Suite #550, Dallas, TX 75252-5466 | 2008-04-02 |
| 1861549768 | Bonny Scott Olney | Family Medicine | 18333 Preston Rd, Suite #550, Dallas, TX 75252-5466 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457914681 | Lashaun Nicole Mwangi | Counselor | 17740 Preston Rd., Suite 100-b, Dallas, TX 75252 | 2019-04-14 |
| 1699244921 | Naomi Silva | Counselor | 18208 Preston Rd. Ste D9-466, Dallas, TX 75252 | 2018-11-15 |
| 1134601560 | Douglas Wayne Barnes | Counselor | 17762 Preston Rd Suite 108, Dallas, TX 75252 | 2018-09-01 |
| 1528548260 | Rhejes Healthcare Services LLC | In Home Supportive Care | 19019 Preston Rd Apt 710, Dallas, TX 75252 | 2018-08-21 |
| 1447759212 | Quadmed Medical Clinics of Texas, P.a. D/b/a Quadmed Medical Grou | Clinic/Center | 17655 Waterview Parkway, Dallas, TX 75252 | 2018-02-07 |
| 1114436862 | Steven Wade Martin | Chiropractor | 17330 Preston Rd., Suite 150a, Dallas, TX 75252 | 2017-09-26 |
| 1053766568 | Helix Health LLC | Clinical Medical Laboratory | 17218 Preston Road, Suite #4200, Dallas, TX 75252 | 2016-05-03 |
| 1144619511 | Bay Crest LLC | Home Health | 18208 Preston Rd Ste 151, Dallas, TX 75252 | 2015-01-22 |
| 1255720579 | Damion P Davis | Counselor | 17210 Campbell Rd, #200, Dallas, TX 75252 | 2015-01-12 |
| 1891109435 | Pediatric Home Healthcare, LLC | Home Health | 17950 Preston Rd # 370, Dallas, TX 75252 | 2014-06-11 |
| Find all providers in zip 75252 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383040 | Zarinda R Williams | Home Health | 6538 S Lancaster Rd, Dallas, TX 75241-3801 | 2020-10-09 |
| 1700490174 | Moye Healthcare | Home Health | 479 Shady Gln, Dallas, GA 30132-0516 | 2020-09-03 |
| 1215549084 | Alys-adele Conglomerate LLC | Home Health | 3319 Santa Teresa Ave, Dallas, TX 75228-3405 | 2020-08-21 |
| 1902415763 | Amedicus Home Health Inc. | Home Health | 9550 Forest Ln Ste 125, Dallas, TX 75243-5964 | 2020-07-28 |
| 1659998433 | Encompass Health Home Health of The Southwest, LLC | Home Health | 6688 N Central Expy Ste 1200, Dallas, TX 75206-3950 | 2020-06-29 |
| 1255957619 | Two Circles Home Health Care, Inc. | Home Health | 1908 Royal Ln Ste 350, Dallas, TX 75229-3128 | 2020-06-22 |
| 1154947034 | Reliable Optimum Services LLC | Home Health | 1068 Merchants Dr Apt 817, Dallas, GA 30132-2978 | 2020-06-17 |
| 1194340067 | Trilogy Health Care Nursing Care Next Door | Home Health | 103 Arbor Creek Way, Dallas, GA 30157-5569 | 2020-06-16 |
| 1861017071 | Zetis Health Services Inc. | Home Health | 5769 Belt Line Rd Apt 708, Dallas, TX 75254-7676 | 2020-06-12 |
| 1013531342 | Texas Care One Home Health LLC | Home Health | 9550 Forest Ln # 226, Dallas, TX 75243-5905 | 2020-06-02 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.