Bethany Christian Services Inc. in Grand Rapids - Residential Treatment Facility, Emotionally Disturbed Children
Bethany Christian Services Inc. - NPI 1528104643
Bethany Christian Services Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Grand Rapids, Michigan. Bethany Christian Services Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Bethany Christian Services Inc. is 1528104643. The last update date is 2013-10-24.
Bethany Christian Services Inc.'s current location address is 901 Eastern Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6162247617 and fax number 6162247593. The mailing address for Bethany Christian Services Inc. is 901 Eastern Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bethany Christian Services Inc. |
|---|---|
| Address | 901 Eastern Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6162247617 |
| Fax Number | 6162247593 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BRANCH DIR |
|---|---|
| Authorized Official Name | Tyndall John George |
| Credentials | MSW |
| Telephone Number | 6162247617 |
NPI Number Detail
| NPI Number | 1528104643 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2013-10-24 |
Provider Mailing Address Detail
| Address | 901 Eastern Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495031201 |
| Phone Number | 6162247617 |
| Fax Number | 6162247593 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 635720364 |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identification code issued to Bethany Christian Services Inc. by the Centers for Medicare & Medicaid Services?
The Bethany Christian Services Inc. has been assigned the NPI (National Provider Identifier) 1528104643 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Bethany Christian Services Inc. located?
The Bethany Christian Services Inc. is located at 901 Eastern Ave Ne, Grand Rapids, MI 495031201.
What is the Bethany Christian Services Inc.'s area of specialization and corresponding taxonomy classification?
The Bethany Christian Services Inc.'s specialty field is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Bethany Christian Services Inc. receive its 1528104643 assignment from the Centers for Medicare & Medicaid Services?
The Bethany Christian Services Inc. was assigned its 1528104643 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date were the details related to Bethany Christian Services Inc. most recently updated or revised?
The information pertaining to Bethany Christian Services Inc., including its address, specialty, and other relevant details, was last updated or revised on 2013-10-24.