# BETHANY HOME HEALTH CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BETHANY LUTHERAN HOME
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306021340
- **Legal business name:** BETHANY LUTHERAN HOME
- **Authorized official:** MRS. PATRICIA MICHELLE OTTEN RN, C (DIRECTOR)
- **Authorized official phone:** (712) 310-4455

## Contact information

- **Practice address:** 11 ELLIOTT ST, COUNCIL BLUFFS, IA 51503-0223
- **Practice address phone:** (712) 310-4455
- **Practice address fax:** (712) 329-4058
- **Mailing address:** 11 ELLIOTT ST, COUNCIL BLUFFS, IA 51503-0223
- **Mailing address phone:** (712) 310-4455
- **Mailing address fax:** (712) 329-4058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 089615 | IA | Yes |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 01/09/2008