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BETHSHAN ASSOCIATION NPI 1164569281


NPI Information

NPI: 1164569281
Provider Name: BETHSHAN ASSOCIATION

Doing Business As: BETHSHAN ASSOCIATION II

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
12927 S MONITOR AVE
PALOS HEIGHTS, IL
ZIP 60463
Phone: (708) 371-0800
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BETHSHAN ASSOCIATION is a residential treatment facility, intellectual and/or developmental disabilities in Palos Heights, IL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. BETHSHAN ASSOCIATION NPI is 1164569281. The provider is registered as an organization entity type.
The provider Is Doing Business As Bethshan Association Ii.

The provider's business location address is:

12927 S MONITOR AVE
PALOS HEIGHTS, IL
ZIP 60463-434
Phone: (708) 371-0800
Fax: (708) 371-0833

The provider's authorized official is Steven J Goudzwaard .
The authorized official title is Director Of Finance and has the following contact phone number (708) 371-0800.

The enumeration date for this NPI number is 1/30/2007 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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities0030528ILLINOISYes

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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