BLOOMINGTON BETHANY SENIOR HOUSINGINC NPI 1053737213

NPI Information

BLOOMINGTON BETHANY SENIOR HOUSING,INC is an assisted living facility in Bloomington, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BLOOMINGTON BETHANY SENIOR HOUSING,INC NPI is 1053737213. The provider is registered as an organization entity type.
The provider Other Name Is Founders Ridge.

The provider's business location address is:

6600 AUTO CLUB RD
BLOOMINGTON, MN
ZIP 55438-425
Phone: (952) 941-5047

The provider's authorized official is Mark Meyer .
The authorized official title is Cfo and has the following contact phone number (651) 631-6120.

The CLIA number assigned to this NPI record is 24D2044924 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2014 and was last updated on 3/12/2014.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.