Bethel Homes LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

BETHEL HOMES LLC

Practice address

217 W Grovers Ave
Phoenix, AZ 85023-6515

Phone

(207) 409-7465

NPI assigned

May 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ange Stephie Hodari

Title

Ceo

Phone

(207) 409-7465

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1003554239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W GROVERS AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236515",
            "telephone_number": "207-409-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W GROVERS AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236515",
            "telephone_number": "207-409-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "HODARI",
        "authorized_official_first_name": "ANGE",
        "authorized_official_middle_name": "STEPHIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-409-7465"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZDHS",
            "identifier": "BH7551",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "217 W Grovers Ave",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850236515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bethel Hills Clinic PLLC
• Bethel Hills Integrated Healthcare
• Bethel Hills Integrated Healthcare
• Bethel Hills Integrated Healthcare PLLC
• Bethel Hills Integrated Healthcare PLLC
• Bethesda Foundation
• Mark James Espinosa Betonio, MD
• Mary Betsellie, CPM
• Stacy E Bettelon, LAC
• Better Balance Behavioral Health PLLC

• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.