BETHESDA FOUNDATION (NPI# 1689715351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689715351 |
Entity Type | Organization |
Organization Name | BETHESDA FOUNDATION |
Other Organization Name | BETHESDA GARDENS |
Practice Address |
5417 Altamesa Blvd Fort Worth TX 76123-2804 |
Practice Telephone | 8172928886 |
Practice Fax Number | 8172923128 |
Mailing Telephone | 8172928886 |
Mailing Fax Number | 8172923128 |
Enumeration Date | 2007-02-08 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JULIE CALLENDER (SR. VICE PESIDENT) |
Authorized Official Telephone | 7194815481 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 116869 | TX | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Bethesda Gardens | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497897011 | Bethesda Foundation | Assisted Living Facility | 1450 E Crossing Blvd, Terre Haute, IN 47802-5316 | 2007-02-12 |
1801936646 | Bethesda Foundation | Assisted Living Facility | 2045 Roanoke St, Colorado Springs, CO 80906-3451 | 2007-02-08 |
1083754881 | Bethesda Foundation | Assisted Living Facility | 7315 Hickory St, Omaha, NE 68124-1677 | 2007-02-08 |
1982745667 | Bethesda Foundation | Assisted Living Facility | 11210 Schuetz Rd, Saint Louis, MO 63146-4933 | 2007-02-08 |
1437299252 | Bethesda Foundation | Assisted Living Facility | 1302 W Sunset St, Springfield, MO 65807-5943 | 2007-02-08 |
1215077045 | Bethesda Foundation | Assisted Living Facility | 4107 Central Ave, Kearney, NE 68847-2532 | 2007-02-08 |
1902946734 | Bethesda Foundation | Assisted Living Facility | 5055 S Lemay Ave, Fort Collins, CO 80525-9401 | 2007-02-08 |
1750421566 | Bethesda Foundation | Assisted Living Facility | 1501 Patterson Rd, Grand Junction, CO 81506-4020 | 2007-02-08 |
1992846661 | Bethesda Foundation | Assisted Living Facility | 1103 W Arkansas Ln, Arlington, TX 76013-7601 | 2007-02-08 |
1326189960 | Bethesda Foundation | Assisted Living Facility | 2730 S Nettleton Ave, Springfield, MO 65807-5971 | 2007-02-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | BETHESDA FOUNDATION | 15475 Gleneagle Dr, Colorado Springs, CO 80921 |
System for Award Management (SAM) Entities | BETHESDA FOUNDATION FOR CHILDREN | 15667 State Hwy 86, Meadville, PA 16335-5316 |
Indiana Business Entities | BETHESDA FOUNDATION, INC. | 15475 Gleneagle Dr., Colorado Springs, CO 80921 |
Street Address |
5417 ALTAMESA BLVD |
City | FORT WORTH |
State | TX |
Zip Code | 76123-2804 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720699697 | Missy Anne Rodriguez | Physical Therapist | 5417 Altamesa Blvd, Fort Worth, TX 76123-2804 | 2020-08-13 |
1942823133 | Kelli White | Physical Therapist | 5417 Altamesa Blvd, Fort Worth, TX 76123-2804 | 2020-05-21 |
1083250625 | Patricia M Sammons | Occupational Therapy Assistant | 5417 Altamesa Blvd, Fort Worth, TX 76123-2804 | 2019-11-19 |
1841782398 | Chrystal Mae Jackson | Occupational Therapy Assistant | 5417 Altamesa Blvd, Fort Worth, TX 76123-2804 | 2018-05-31 |
1427571538 | Megan S Smith | Occupational Therapy Assistant | 5417 Altamesa Blvd, Fort Worth, TX 76123-2804 | 2017-07-20 |
1285188193 | Kiley Beard | Physical Therapy Assistant | 5417 Altamesa Blvd, Fort Worth, TX 76123-2804 | 2016-08-09 |
1700244258 | Jennifer Elliott | Occupational Therapy Assistant | 5417 Altamesa Blvd, Fort Worth, TX 76123-2804 | 2016-01-29 |
1417384702 | Mireya Hernandez Chadwick | Speech-Language Pathologist | 5417 Altamesa Blvd, Fort Worth, TX 76123-2804 | 2013-10-01 |
1326321035 | Rosa Anderson | Physical Therapy Assistant | 5417 Altamesa Blvd, Fort Worth, TX 76123-2804 | 2011-09-20 |
1588973994 | Paige M Preston | Speech-Language Pathologist | 5417 Altamesa Blvd, Fort Worth, TX 76123-2804 | 2010-10-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205440146 | Ismile Dental At The Chisolm Trail Pllc | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-09-08 |
1558916361 | Nimu Pllc | Dentist | 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 | 2019-08-08 |
1306361431 | Kelley Phillips | Counselor | 5013 Pallas Court, Fort Worth, TX 76123 | 2017-08-09 |
1396280756 | Chisholm Trail Emergency Center | Clinic/Center | 5500 Sycamore School Rd., Ste. 150, Fort Worth, TX 76123 | 2016-12-21 |
1457801391 | Point of Grace Home Health | Registered Nurse | 2533 Mill Spring Pass, Fort, TX 76123 | 2016-10-04 |
1992253306 | Jason Bowers | Specialist/Technologist, Other | 5316 Quail Feather Dr, Fort Worth, TX 76123 | 2016-09-14 |
1831546944 | Kalima Charway | Psychologist | 4532 Endercrest Lane, Fort Worth, TX 76123 | 2016-05-18 |
1033551577 | Michael Rose | Specialist | 4924 Belladonna Dr, Fort Worth, TX 76123 | 2013-07-25 |
1265871768 | Anna Uppal | Dentist | 100 Wolfe Nursery Street, 180, Stephenville, TX 76123 | 2013-06-18 |
1366880627 | Mesa Springs, LLC | Psychiatric Hospital | 5560 Mesa Springs Drive, Fort Worth, TX 76123 | 2013-06-10 |
Find all providers in zip 76123 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245882588 | Home of Champions | Assisted Living Facility | 7816 Whitney Ln, Fort Worth, TX 76112-6168 | 2019-07-16 |
1609378603 | Ridglea Senior Living 2015, LLC | Assisted Living Facility | 4109 Westridge Ave, Fort Worth, TX 76116-7410 | 2018-03-06 |
1235657008 | Genesis Gardens, Inc. | Assisted Living Facility | 174 Sycamore School Rd, Fort Worth, TX 76134-5008 | 2017-08-31 |
1760914469 | Southwest Ltc - Fort Worth Alf, LLC | Assisted Living Facility | 6931 River Park Cir, Fort Worth, TX 76116-8465 | 2017-03-31 |
1558893701 | Southwest Ltc - Fort Worth Alf, LLC | Assisted Living Facility | 6939 River Park Cir, Fort Worth, TX 76116-8465 | 2017-03-28 |
1649533910 | All In All Home Healthcare Agency | Assisted Living Facility | 5938 Bayside Dr, Fort Worth, TX 76132-2645 | 2012-06-20 |
1477832681 | Circle of Helping Hands LLC | Assisted Living Facility | 6405 Greenbriar Lane, Fort Worth, TX 76132-3037 | 2011-08-05 |
1043505175 | Angels Haven, LLC | Assisted Living Facility | 2724 Calico Rock Dr, Fort Worth, TX 76131-2034 | 2011-06-16 |
1174816912 | Griffin Manor | Assisted Living Facility | 1428 Queens Brook Ln, Fort Worth, TX 76140-5747 | 2011-05-26 |
1407180292 | Chritian Love Foundation | Assisted Living Facility | 6325 Vel Dr, Fort Worth, TX 76112-8035 | 2009-09-25 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76123 |
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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.