BETHESDA FOUNDATION NPI 1942341623

NPI Information

  • NPI: 1942341623
  • Provider Name: BETHESDA FOUNDATION
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Other Name: AUTUMN VIEW GARDENS
  • CLIA Number: 26D0925868
  • Address: 16219 AUTUMN VIEW TERRACE DR
    ELLISVILLE, MO
    ZIP 63011
  • Phone: (636) 458-5225

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NPI Details

BETHESDA FOUNDATION is an assisted living facility in Ellisville, MO. 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 1942341623. The provider is registered as an organization entity type.
The provider Other Name Is Autumn View Gardens.

The provider's business location address is:

16219 AUTUMN VIEW TERRACE DR
ELLISVILLE, MO
ZIP 63011-743
Phone: (636) 458-5225
Fax: (636) 458-0189

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

The CLIA number assigned to this NPI record is 26D0925868 - 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility032753MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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