BETHEL AGENCY (NPI# 1356950679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356950679 |
| Entity Type | Organization |
| Organization Name | BETHEL AGENCY |
| Practice Address |
998 S Zeno Way Aurora CO 80017-3329 |
| Practice Telephone | 7202883979 |
| Mailing Telephone | 7202883979 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | NATHAN MWADIAMBALA LUKATE (DIRECTOR) |
| Authorized Official Telephone | 7202883979 |
| Is Organization Subpart | N |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Bethel agency | 998 S Zeno Way, Aurora, CO 80017 |
| Street Address |
998 S ZENO WAY |
| City | AURORA |
| State | CO |
| Zip Code | 80017-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425133 | Jennifer Camp | Registered Nurse | 2500 South Parker Road, Parker, CO 80017 | 2017-09-08 |
| 1679002034 | Rukecha LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1425 S Ensenada St, Aurora, CO 80017 | 2017-06-08 |
| 1649714395 | Bruk Transportation LLC | Non-emergency Medical Transport (VAN) | 18091 E Kentucky Ave, Apt. 103, Aurora, CO 80017 | 2016-12-15 |
| 1477909604 | Agape Transit LLC | Non-emergency Medical Transport (VAN) | 1660 S Chambers Rd, Aurora, CO 80017 | 2016-05-06 |
| 1831552918 | Ayinalem Sima | Non-emergency Medical Transport (VAN) | 1720 S Quintero Way, Aurora, CO 80017 | 2016-04-05 |
| 1821450446 | Malayah Stamps | Technician, Other | 16202 E Alabama Dr, Aurora, CO 80017 | 2016-03-23 |
| 1033574330 | Melissa Rose Harmon | Student in an Organized Health Care Education/Training Program | 1234 Bell, Aurora, CO 80017 | 2015-12-31 |
| 1770951154 | Smooth Ride Services, LLC | Non-emergency Medical Transport (VAN) | 16492 E Wyoming Dr, Aurora, CO 80017 | 2015-09-02 |
| 1063893857 | Belew B Yigletu Sr. | Driver | 15330 E Center Ave # N204, Aurora, CO 80017 | 2015-06-17 |
| 1184058281 | Boomer Medical Supply | Durable Medical Equipment & Medical Supplies | 17935 East Florida Drive, Aurora, CO 80017 | 2013-08-26 |
| Find all providers in zip 80017 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203535 | Special Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2776 S Dunkirk Ct, Aurora, CO 80013-4744 | 2020-10-23 |
| 1083220750 | Liberty Residential LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 923 S Telluride St, Aurora, CO 80017-3346 | 2020-09-18 |
| 1750907135 | Bianca Alish Lott | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17827 E Mexico Dr, Aurora, CO 80017-5378 | 2020-06-22 |
| 1790300705 | Haset | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 855 S Kalispell Cir Unit 205, Aurora, CO 80017-2098 | 2020-06-15 |
| 1942852561 | Grace Community Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24238 E Arapahoe Pl, Aurora, CO 80016-4138 | 2019-07-13 |
| 1134642614 | Life Skills Empowerment Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 171 Del Mar Cir, Aurora, CO 80011-8217 | 2017-07-17 |
| 1679002034 | Rukecha LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1425 S Ensenada St, Aurora, CO 80017 | 2017-06-08 |
| 1699217984 | Caring Voices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 794 Memphis St, Aurora, CO 80011-4543 | 2016-11-17 |
| 1073960167 | Association for Individual Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 309 New Indian Trail Ct., Aurora, IL 60506-2494 | 2016-05-18 |
| 1295908689 | Lutheran Social Services of Illinois | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 560 W Galena Blvd, Aurora, IL 60506-3855 | 2008-04-08 |
| Find all providers in AURORA | ||||
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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.