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BETHEL CARE SERVICES INC NPI 1609414614


NPI Information

NPI: 1609414614
Provider Name: BETHEL CARE SERVICES, INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 24D2230159

Address:
1150 4TH ST W
HASTINGS, MN
ZIP 55033
Phone: (651) 706-2860
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BETHEL CARE SERVICES, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Hastings, MN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BETHEL CARE SERVICES, INC NPI is 1609414614. The provider is registered as an organization entity type.

The provider's business location address is:

1150 4TH ST W
HASTINGS, MN
ZIP 55033-607
Phone: (651) 706-2860
Fax: (651) 319-0940

The provider's authorized official is Femi N Abatan .
The authorized official title is Owner/director and has the following contact phone number (651) 706-2860.

The CLIA number assigned to this NPI record is 24D2230159 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2019 and was last updated on 3/28/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareNo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3320700000XResidential Treatment Facility, Physical DisabilitiesNo
4320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
5320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 5/5/2024

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.