Organization
BETHANY OPERATING CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN GEWIRTZ (FISCAL OVERSIGHT)
(914) 588-8379
Entity
Organization
Contact information
Practice address
800 W CHESTNUT ST, ROME, NY 13440-2364
(315) 339-3210
(315) 339-6927
Mailing address
800 W CHESTNUT ST, ROME, NY 13440-2364
(315) 339-3210
(315) 339-6927
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
003201303N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00312785
—
NY
01
—
003201303N
OPERATING CERTIFICATE
NY
01
—
0594
PFI
NY
Enumeration date
07/05/2005
Last updated
02/27/2014
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