BETHESDA FARM (NPI# 1447788245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447788245 |
| Entity Type | Organization |
| Organization Name | BETHESDA FARM |
| Practice Address |
12085 60th Ave Allendale MI 49401-9761 |
| Practice Telephone | 6163188393 |
| Practice Fax Number | 6163188393 |
| Mailing Telephone | 6163188393 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |
| Authorized Official Name | JOHN FITZGERALD EVANS (PRESIDENT) |
| Authorized Official Telephone | 6163188393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
12085 60TH AVE |
| City | ALLENDALE |
| State | MI |
| Zip Code | 49401-9761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
| 1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
| 1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
| 1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
| 1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
| 1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
| 1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
| 1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
| 1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
| 1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
| Find all providers in zip 49401 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841693496 | Camp Acorn, Inc. | Day Training, Developmentally Disabled Services | 165 W Crescent Ave, Allendale, NJ 07401-1503 | 2014-09-26 |
| 1386861144 | Triple E Residential Care | Day Training, Developmentally Disabled Services | 286 Water St, Allendale, SC 29810-3512 | 2007-04-20 |
| 1467985978 | Camp Acorn, Inc. | Day Training, Developmentally Disabled Services | 165 W Crescent Ave, Allendale, NJ 07401-1503 | 2017-04-11 |
| 1912164971 | Triple E Residential Care | Day Training, Developmentally Disabled Services | 286 Water St, Allendale, SC 29810-3512 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696107 | Novus Living | Day Training, Developmentally Disabled Services | 7860 Wayne Rd, Romulus, MI 48174-1668 | 2020-07-21 |
| 1942850391 | Full Circle Care, LLC | Day Training, Developmentally Disabled Services | 5040 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2019-09-18 |
| 1649733635 | Dutton Farm, Inc | Day Training, Developmentally Disabled Services | 2290 Dutton Rd, Rochester Hills, MI 48306-2332 | 2019-04-08 |
| 1902360530 | Skill and Ability Education | Day Training, Developmentally Disabled Services | 4523 Connor Ct, Ypsilanti, MI 48197-9229 | 2019-01-28 |
| 1518437243 | Asd Smart Kids | Day Training, Developmentally Disabled Services | 337 Sylvan Drive, Canton, MI 48188-4818 | 2018-11-26 |
| 1316416258 | Sandra Marie Delaney | Day Training, Developmentally Disabled Services | 18640 E. 14 Mile, A5, Fraser, MI 48026 | 2018-11-21 |
| 1447731179 | Tony Edward Rice | Day Training, Developmentally Disabled Services | 21043 Bauman Rd, Battle Creek, MI 49017-8413 | 2018-08-21 |
| 1821590696 | Rise All Lives Matter | Day Training, Developmentally Disabled Services | 100 W Ferry St, Berrien Springs, MI 49103-1194 | 2018-03-07 |
| 1467976100 | Champions Forever, LLC | Day Training, Developmentally Disabled Services | 25750 Lahser Rd Ste 210, Southfield, MI 48033-5809 | 2017-08-02 |
| 1821527359 | James Harper | Day Training, Developmentally Disabled Services | 1364 Alexander Dr., Traverse City, MI 49696 | 2017-06-08 |
| 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.