Organization Active NPI

Bethel Management Group Inc.

  • Registered Nurse
  • Brooklyn Center, MN
National Provider Identifier
1023430071
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
365299 Issued in MN
Legal business name
BETHEL MANAGEMENT GROUP INC.
Practice address
5901 Brooklyn Blvd Ste 107
Brooklyn Center, MN 55429-2532
Phone
(763) 746-8566
Fax
(763) 537-1688
NPI assigned
Jan 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Mr. Joseph Boakye-Danquah
Title
President
Phone
(612) 423-0659

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 365299 MN Primary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X 365299 MN
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X 365299 MN
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X 365299 MN
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X 365299 MN
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X 365299 MN
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X 365299 MN

Addresses

Primary practice location

5901 Brooklyn Blvd Ste 107
Brooklyn Center, MN 55429-2532

Mailing address

5901 Brooklyn Blvd Ste 107
Brooklyn Center, MN 55429-2532
Phone (763) 746-8566

Other names 1

  • BETHEL HOME CARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bethel Home Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5901 Brooklyn Blvd
Ste 107
Brooklyn Center, MN 55429
Phone (763) 746-8566

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1023430071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 BROOKLYN BLVD STE 107",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292532",
            "telephone_number": "763-746-8566",
            "fax_number": "763-537-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 BROOKLYN BLVD STE 107",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292532",
            "telephone_number": "763-746-8566",
            "fax_number": "763-537-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL MANAGEMENT GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "BOAKYE-DANQUAH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-423-0659",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "365299",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "MN",
            "license": "365299",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "MN",
            "license": "365299",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "MN",
            "license": "365299",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "365299",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "MN",
            "license": "365299",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "MN",
            "license": "365299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETHEL HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.