BETHELCARE LLC


Address: 20601 Randolph Pl, Denver, CO 80249-8668
Phone: 7204959567

BETHELCARE LLC (NPI# 1174158323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174158323
Entity Type Organization
Organization Name BETHELCARE LLC
Practice Address 20601 Randolph Pl
Denver
CO 80249-8668
Practice Telephone 7204959567
Mailing Telephone 7204959567
Enumeration Date 2020-03-09
Last Update Date 2020-03-09
Authorized Official Name TIYA SHAFO (DIRECTOR)
Authorized Official Telephone 7204959567
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251C00000X Day Training, Developmentally Disabled Services Agencies
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 20601 RANDOLPH PL
City DENVER
State CO
Zip Code 80249-8668

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1629521760 Kenzie Bohm Social Worker 4800 Telluride St, Denver, CO 80249 2016-07-25
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093379083 Mobel Fadeyi Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4785 Biscay St, Denver, CO 80249-6820 2019-04-25
1184106213 The Bridge Community, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3101 W Hillside Pl, Denver, CO 80219-5821 2018-09-05
1952804254 Angel Group Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 90 Madison St Ste 405, Denver, CO 80206-5413 2018-03-13
1043756828 Stefanies Village Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 240 Magnolia St, Denver, CO 80220-6010 2017-01-17
1104361815 Developmental Opportunities Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6524 E Alaska Dr, Denver, CO 80224-1304 2017-01-04
1932502713 Inspired Living Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1129 S Monaco Pkwy, Denver, CO 80224-1809 2014-10-07
1356620017 Angels Family LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5155 W Custer Pl, Denver, CO 80219-2297 2011-08-12
1891350872 Angel Group Agency Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 90 Madison St Ste 405, Denver, CO 80206-5413 2019-05-06
1861905317 Revel Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1728 N Downing St, Denver, CO 80218-1008 2017-11-07
1003024779 Roundup Fellowship Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2250 S Oneida St, Suite 201, Denver, CO 80224-2556 2007-05-18
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Competitor

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City DENVER
Zip Code 80249

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Dataset Information

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.

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