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BETHANY CHRISTIAN SERVICES INC. NPI 1528104643


NPI Information

NPI: 1528104643
Provider Name: BETHANY CHRISTIAN SERVICES INC.

Other Name: GRAND RAPIDS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
901 EASTERN AVE NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 224-7617
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BETHANY CHRISTIAN SERVICES INC. is a community behavioral health in Grand Rapids, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BETHANY CHRISTIAN SERVICES INC. NPI is 1528104643. The provider is registered as an organization entity type.
The provider Other Name Is Grand Rapids.

The provider's business location address is:

901 EASTERN AVE NE
GRAND RAPIDS, MI
ZIP 49503-201
Phone: (616) 224-7617
Fax: (616) 224-7593

The provider's authorized official is George John Tyndall .
The authorized official title is Branch Director and has the following contact phone number (616) 224-7617.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 10/24/2013.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children635720364MICHIGANNo
2251B00000XCase ManagementCB410200976MICHIGANNo
3251S00000XCommunity/Behavioral Health410218MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10D16266MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE GROUP BILLING
20P19460MEDICARE ID-TYPE UNSPECIFIEDMICHIGANPSYCHIATRIC GROUP

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

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.