Bethel House Attendant Care,LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B087150 Issued in KS

Legal business name

BETHEL HOUSE ATTENDANT CARE,LLC

Practice address

4031 E Harry St
Wichita, KS 67218-3724

Phone

(316) 771-7316

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Christine Bacci

Title

Director of Operations

Phone

(316) 771-7316

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1063651685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183724",
            "telephone_number": "316-771-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183724",
            "telephone_number": "316-771-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL HOUSE ATTENDANT CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "BACCI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "316-771-7316"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B087150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.