Provider Demographics
NPI:1043702053
Name:BETHEL CARE INTERNATIONAL INC
Entity type:Organization
Organization Name:BETHEL CARE INTERNATIONAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, VP, CLIENT CARE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA TUNDE
Authorized Official - Middle Name:
Authorized Official - Last Name:KANSIIME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-266-6939
Mailing Address - Street 1:630 BOSTON RD # 201B
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-3783
Mailing Address - Country:US
Mailing Address - Phone:781-918-3117
Mailing Address - Fax:617-410-4149
Practice Address - Street 1:630 BOSTON RD # 201B
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-3783
Practice Address - Country:US
Practice Address - Phone:781-918-3117
Practice Address - Fax:617-410-4149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-05
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome HealthGroup - Multi-Specialty