BETHESDA LUTHERAN COMMUNITIES (NPI# 1164944179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164944179 |
| Entity Type | Organization |
| Organization Name | BETHESDA LUTHERAN COMMUNITIES |
| Practice Address |
12 Ward Witty Dr Montville NJ 07045-9752 |
| Mailing Address |
220 Hamburg Tpke Pompton Lakes NJ 07442-1802 |
| Practice Telephone | 9738314088 |
| Mailing Telephone | 9738314088 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |
| Authorized Official Name | LINDA BRINKMAN (AREA DIRECTOR) |
| Authorized Official Telephone | 9738314088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538681549 | Bethesda Lutheran Communities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 Thackeray Rd, Oakland, NJ 07436-3320 | 2017-07-11 |
| 1265587356 | Bethesda Lutheran Communities | Case Management | 14150 W 113th St, Shawnee Mission, KS 66215-4819 | 2007-01-25 |
| 1033429683 | Bethesda Lutheran Communities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 600 Hoffmann Dr, Watertown, WI 53094-6223 | 2010-10-18 |
| 1669618864 | Bethesda Lutheran Communities | Intermediate Care Facility, Mentally Retarded | 14150 W 113th St, Shawnee Mission, KS 66215-4819 | 2008-12-18 |
| 1780820977 | Bethesda Lutheran Communities | Intermediate Care Facility, Mentally Retarded | 14150 W 113th St, Shawnee Mission, KS 66215-4819 | 2008-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Bethesda Lutheran Communities Inc. | 600 Hoffmann Dr, Watertown, Wisconsin 53094-6223 |
| Oklahoma Business Registrations | BETHESDA LUTHERAN COMMUNITIES, INC. | 600 Hoffmann Dr, Watertown, WI 53094 |
| System for Award Management (SAM) Entities | BETHESDA LUTHERAN COMMUNITIES, INC. | 600 Hoffmann Dr, Watertown, WI 53094-6223 |
| Oregon Corporations, Companies and Business Names | BETHESDA LUTHERAN COMMUNITIES, INC. | 600 Hoffmann Dr, Watertown, WI 53094 |
| Iowa Business Entities | BETHESDA LUTHERAN COMMUNITIES, INC. | 600 Hoffmann Drive, Watertown, WI 53094 |
| Indiana Business Entities | BETHESDA LUTHERAN COMMUNITIES, INC. | 600 Hoffmann Drive, Watertown, WI 53094-6223 |
| Street Address |
12 WARD WITTY DR |
| City | MONTVILLE |
| State | NJ |
| Zip Code | 07045-9752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160655 | Jkf Consulting | Psychologist | 120 Ridge Dr, Montville, NJ 07045 | 2018-07-13 |
| 1215466651 | Raymond Scott Giordano | Home Health Aide | 150 River Road Suite F1, Montville, NJ 07045 | 2017-06-08 |
| 1275942732 | Falcon Medical Corp | Ambulance | 10 Joan Dr, Montville, NJ 07045 | 2014-08-10 |
| 1467875708 | Alyssa Puorro | Chiropractor | 20 Cambray Road, Montville, NJ 07045 | 2014-01-22 |
| 1376985085 | Peaceful Journey | Counselor | 328 Changebridge Road, Montville, NJ 07045 | 2013-07-23 |
| 1457639908 | Ellen Marie Ruban | Social Worker | 390 Main Rd., Montville, NJ 07045 | 2011-08-02 |
| 1215251228 | Hetal Sojitra | Physical Therapist | 115 Horseneck Rd Ste 5, Montville, NJ 07045 | 2010-03-19 |
| 1447452693 | Tara Ann Gieger | Dental Hygienist | 140 River Road, Suite J-2, Montville, NJ 07045 | 2007-06-01 |
| 1023219565 | Joyce Levine Stern | Social Worker | 170 Changebridge Road, Suite C2, Montville, NJ 07045 | 2007-05-31 |
| 1174683478 | Montville Pharmacy Nj Corp | Pharmacy | 185 Changebridge Road, Montville, NJ 07045 | 2006-12-10 |
| Find all providers in zip 07045 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299390 | Developmental Disability Awareness With Love (ddawl) | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2 Stiles Ln, Montville, NJ 07045-9424 | 2020-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508979 | A.d.e.p.t. Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Eayrestown Rd # B2-01, Lumberton, NJ 08048-3162 | 2020-11-05 |
| 1508467556 | A.d.e.p.t. Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Eayrestown Rd Apt A2-10, Lumberton, NJ 08048-3180 | 2020-11-05 |
| 1629684451 | Reed Next, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300 Avalon Dr Unit 3104, Wood Ridge, NJ 07075-1063 | 2020-09-17 |
| 1558971184 | Fordham-lewis Consulting, L.L.C. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 370 Clinton Ave, Wyckoff, NJ 07481-1939 | 2020-08-07 |
| 1649889668 | Options Imagined A Nj Nonprofit Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2467 State Route 10 Bldg 18-1a, Morris Plains, NJ 07950-1318 | 2020-07-27 |
| 1609405661 | New Horizons In Autism, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 718 Vivian Dr, Toms River, NJ 08753-5474 | 2020-04-02 |
| 1265065981 | Olusina Oladipo Coker | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 424 Emma Dr, Toms River, NJ 08755-6412 | 2020-02-20 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1821638180 | Woods Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 321 Overbrook Ave, Glassboro, NJ 08028-2029 | 2020-01-14 |
| 1568001527 | Woods Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1505 S Academy St, Glassboro, NJ 08028-3368 | 2019-12-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.