Bethany Community Services, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BETHANY COMMUNITY SERVICES, INC.

Practice address

100 Water St
Haverhill, MA 01830

Phone

(978) 374-2168

Fax

(978) 374-2163

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Pamela Perron

Title

Cfo

Phone

(978) 374-2160

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1205957800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PHOENIX ROW",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018325734",
            "telephone_number": "978-374-2160",
            "fax_number": "978-374-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WATER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-374-2168",
            "fax_number": "978-374-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "PERRON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-374-2160"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1901966",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Berardi, LMHC
• Keri A Bergman, LICSW
• Jaime Bernard, PT
• Andrew D Berube, ATC
• Beth Israel Lahey Health Primary Care, Inc.
• Peter Alexander Bevins, M.D.
• Barry Thomas Bickley, MD
• Billerica Healthcare Solutions, LLC
• Sarah Ann Binns
• Melinda Ropar Birdsall, M.D.

• Assisted Living Facility in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.