NPIMap

Organization Active NPI

Bethesda Lutheran Communities

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Montville, NJ
National Provider Identifier
1164944179
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BETHESDA LUTHERAN COMMUNITIES
Practice address
12 Ward Witty Dr
Montville, NJ 07045-9752
Phone
(973) 831-4088
NPI assigned
Jul 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Authorized official

Name
Linda Brinkman
Title
Area Director
Phone
(973) 831-4088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

12 Ward Witty Dr
Montville, NJ 07045-9752

Mailing address

220 Hamburg Tpke
Pompton Lakes, NJ 07442-1802
Phone (973) 831-4088

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Lutheran5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1164944179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TPKE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421802",
            "telephone_number": "973-831-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WARD WITTY DR",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459752",
            "telephone_number": "973-831-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA LUTHERAN COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "BRINKMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "973-831-4088"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.