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BETHESDA FOUNDATION NPI 1689715351


NPI Information

NPI: 1689715351
Provider Name: BETHESDA FOUNDATION

Other Name: BETHESDA GARDENS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 45D2233193

Address:
5417 ALTAMESA BLVD
FORT WORTH, TX
ZIP 76123
Phone: (817) 292-8886
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BETHESDA FOUNDATION is an assisted living facility in Fort Worth, TX. 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. BETHESDA FOUNDATION NPI is 1689715351. The provider is registered as an organization entity type.
The provider Other Name Is Bethesda Gardens.

The provider's business location address is:

5417 ALTAMESA BLVD
FORT WORTH, TX
ZIP 76123-804
Phone: (817) 292-8886
Fax: (817) 292-3128

The provider's authorized official is Julie Callender .
The authorized official title is Sr. Vice Pesident and has the following contact phone number (719) 481-5481.

The CLIA number assigned to this NPI record is 45D2233193 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility116869TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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