BETHESDA FOUNDATION (NPI# 1801936646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801936646 |
| Entity Type | Organization |
| Organization Name | BETHESDA FOUNDATION |
| Other Organization Name | BROADMOOR COURT |
| Practice Address |
2045 Roanoke St Colorado Springs CO 80906-3451 |
| Practice Telephone | 7194712285 |
| Practice Fax Number | 7196340491 |
| Mailing Telephone | 7194712285 |
| Mailing Fax Number | 7196340491 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JULIE CALLENDER (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 7194815481 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL0057 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 72657511 | 05 |
| Other Name | Type Code |
|---|---|
| Broadmoor Court | 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 |
| 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 |
| 1689715351 | Bethesda Foundation | Assisted Living Facility | 5417 Altamesa Blvd, Fort Worth, TX 76123-2804 | 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 |
2045 ROANOKE ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-3451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| 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 |
|---|---|---|---|---|
| 1891323374 | A Robins Nest of Cheyenne Mtn. Inc. | Assisted Living Facility | 3182 Oak Creek Dr E, Colorado Springs, CO 80906-4548 | 2020-03-30 |
| 1336782168 | Braincare LLC | Assisted Living Facility | 2535 Brady Dr., Colorado Springs, CO 80917-4020 | 2019-10-24 |
| 1811455371 | Aurora Residential Alternatives, Inc | Assisted Living Facility | 2137 Lander Cir, Colorado Springs, CO 80909-1564 | 2019-03-04 |
| 1427513076 | Constant Care of Colorado Springs, Inc | Assisted Living Facility | 8320 Sutterfield Dr, Colorado Springs, CO 80920-6206 | 2019-02-07 |
| 1871078907 | Nicoll Holdings, LLC | Assisted Living Facility | 2204 Oakridge Ln, Colorado Springs, CO 80915-1017 | 2018-09-25 |
| 1427534627 | Hubbard Property Management Dba Gentle Care House | Assisted Living Facility | 1333 Darby St, Colorado Springs, CO 80907-3704 | 2018-07-11 |
| 1053801712 | Starlight Assisted Living | Assisted Living Facility | 68 Security Blvd, Colorado Springs, CO 80911-1929 | 2018-05-17 |
| 1679089197 | Assisted Living At Spring, LLC | Assisted Living Facility | 1605 Jet Wing Dr, Colorado Springs, CO 80916-2258 | 2017-12-20 |
| 1427569409 | Home Care LLC | Assisted Living Facility | 2501 Bennett Ave, Colorado Springs, CO 80909-1209 | 2017-10-18 |
| 1750808200 | Melody Living Associates, LLC | Assisted Living Facility | 7600 Sand Rock Point, Colorado Springs, CO 80924 | 2017-08-25 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
Please comment or provide details below to improve the information on BETHESDA FOUNDATION.
| 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.