Active NPI
Bethel Management Group Inc.
- Registered Nurse
- Brooklyn Center, MN
National Provider Identifier
1023430071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 365299
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 365299 | MN | Primary |
| Adult Companion | 372600000X | 365299 | MN | |
| Attendant Care Provider | 3747A0650X | 365299 | MN | |
| Personal Care Attendant | 3747P1801X | 365299 | MN | |
| Home Health Aide | 374U00000X | 365299 | MN | |
| Homemaker | 376J00000X | 365299 | MN | |
| Nurse's Aide | 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
National Provider Directory
National Provider Directory- Tax ID family
- Bethel Home Care Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Custodial Care Facility
- Brooklyn Center, MN
- NPI 1215359195
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.