Organization Active NPI

Bethesda Assisted Living LLC

  • Assisted Living Facility
  • Lake Worth Beach, FL
National Provider Identifier
1154901817
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BETHESDA ASSISTED LIVING LLC
Practice address
624 Barber Ave
Lake Worth Beach, FL 33461-5707
Phone
(561) 860-1888
NPI assigned
Apr 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Marie G Mengual
Title
MGR
Phone
(561) 860-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

624 Barber Ave
Lake Worth Beach, FL 33461-5707

Mailing address

624 Barber Ave
Lake Worth Beach, FL 33461-5707
Phone (561) 860-1888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1154901817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 BARBER AVE",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334615707",
            "telephone_number": "561-860-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 BARBER AVE",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334615707",
            "telephone_number": "561-860-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "MENGUAL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-860-1888"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.