Bloomington Bethany Senior Housing,Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

365261 Issued in MN

Legal business name

BLOOMINGTON BETHANY SENIOR HOUSING,INC

Practice address

6600 Auto Club Rd
Bloomington, MN 55438-2425

Phone

(952) 941-5047

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Mark Meyer

Title

Cfo

Phone

(651) 631-6120

Specialties & licenses 1

Addresses

Other names 1

• FOUNDERS RIDGE Other name

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1053737213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 AUTO CLUB RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382425",
            "telephone_number": "952-941-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 AUTO CLUB RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382425",
            "telephone_number": "952-941-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON BETHANY SENIOR HOUSING,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-631-6120"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "365261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUNDERS RIDGE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.