Bestcare Nursing and Residential Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BESTCARE NURSING AND RESIDENTIAL SERVICES, INC.

Practice address

400 W Chester Pike
Ridley Park, PA 19078-1522

Phone

(443) 677-5135

NPI assigned

Feb 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kolawole Abiodun AdeolaNPI 1932695350

Title

Ceo

Phone

(410) 415-6505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BESTCARE NURSING AND RESIDENTIAL SERVICES, INC Doing business as

Tax ID family

Bestcare Residential Services Inc2 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.

• Bestcare Residential Services, Inc.

  • Nursing Care Agency
  • Pikesville, MD
  • NPI 1063653517
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kolawole Abiodun Adeola

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Marlton, NJ
  • NPI 1932695350

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1043775596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CHESTER PIKE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190781522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CHESTER PIKE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190781522",
            "telephone_number": "443-677-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESTCARE NURSING AND RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "ADEOLA",
        "authorized_official_first_name": "KOLAWOLE",
        "authorized_official_middle_name": "ABIODUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-415-6505",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235689",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BESTCARE NURSING AND RESIDENTIAL SERVICES, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Lee Becker, MD
• Aimee M Belfon, CRNA
• Kerry Jane Benson
• Martin Jan Bergman, M.D.
• Rachel Bernard, PA-C
• Christine L. Blaine, PSY.D.
• Peter A Bodi, PA-C
• Lee H Bogart, M.D.
• Ellen K Boyda, CRNP
• Melissa T Burkhart, MD

• All providers in Ridley Park, PA
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.