BETHANNA (NPI# 1255407532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255407532 |
| Entity Type | Organization |
| Organization Name | BETHANNA |
| Other Organization Name | BETHANNA BIBLE AND MISSIONARY CENTER |
| Practice Address |
1030 2nd Street Pike Southampton PA 18966-3955 |
| Practice Telephone | 2153556500 |
| Practice Fax Number | 2153558617 |
| Mailing Telephone | 2153556500 |
| Mailing Fax Number | 2153558617 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RONALD LEIGH FRITCH (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2153556500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 198540 | PA | Residential Treatment Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 198530 | PA | Residential Treatment Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 198520 | PA | Residential Treatment Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 198510 | PA | Residential Treatment Facilities |
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 105330 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007513410004 | 05 |
| Other Name | Type Code |
|---|---|
| Bethanna Bible and Missionary Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801300512 | Bethanna | Community/Behavioral Health | 2500 Wharton St, Philadelphia, PA 19146-3942 | 2017-11-17 |
| 1962627851 | Bethanna | Community/Behavioral Health | 1212 Wood St, Philadelphia, PA 19107-1113 | 2007-04-16 |
| 1710104252 | Bethanna | Community/Behavioral Health | 1212 Wood St, Philadelphia, PA 19107-1113 | 2007-04-19 |
| 1447477989 | Bethanna | Nursing Care | 1030 2nd Street Pike, Southampton, PA 18966-3955 | 2007-04-19 |
| 1114143823 | Bethanna | Community/Behavioral Health | 1030 2nd Street Pike, Southampton, PA 18966-3955 | 2007-04-18 |
| Street Address |
1030 2ND STREET PIKE |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023656949 | Stc Pediatrics LLC | Pediatrics | 1030 2nd Street Pike, Southampton, PA 18966-3955 | 2019-12-11 |
| 1447477989 | Bethanna | Nursing Care | 1030 2nd Street Pike, Southampton, PA 18966-3955 | 2007-04-19 |
| 1114143823 | Bethanna | Community/Behavioral Health | 1030 2nd Street Pike, Southampton, PA 18966-3955 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028860 | Woods Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Lakeshore Drive, Langhorne, PA 19047-1616 | 2018-10-01 |
| 1861971665 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Woodlands Drive, Langhorne, PA 19047-1616 | 2018-08-13 |
| 1487133286 | Woods Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 19 Sandalwood Circle, Langhorne, PA 19047-1616 | 2018-08-13 |
| 1821592270 | Woods Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 357 Roebling Drive, Langhorne, PA 19047-1616 | 2018-03-21 |
| 1184127722 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 17 Woodlands Drive, Langhorne, PA 19047 | 2018-03-09 |
| 1235632977 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 84 Buttonwood Drive, Langhorne, PA 19047-0036 | 2018-03-08 |
| 1518407519 | Forget Me Knot Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 2321 N Broad Street, Philadelphia, PA 19132 | 2017-02-24 |
| 1295286615 | Chor Youth and Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 1023 Pear Street, Reading, PA 19601 | 2016-10-20 |
| 1639622681 | Cosmological LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5746 N 19th St, Philadelphia, PA 19141-1204 | 2016-07-26 |
| 1184073645 | New Beginings LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2732 N 22nd St, Philadelphia, PA 19132-2601 | 2016-06-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
Please comment or provide details below to improve the information on BETHANNA.
| 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.