NPIMap

Organization Active NPI

Bethesda Foundation

  • Assisted Living Facility
  • Kearney, NE
National Provider Identifier
1215077045
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALF024 Issued in CO
Legal business name
BETHESDA FOUNDATION
Practice address
4107 Central Ave
Kearney, NE 68847-2532
Phone
(308) 237-3773
Fax
(308) 234-9832
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Julie Callender
Title
Sr. Vice President
Phone
(719) 481-5481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF024 CO Primary

Addresses

Primary practice location

4107 Central Ave
Kearney, NE 68847-2532

Mailing address

4107 Central Ave
Kearney, NE 68847-2532
Phone (308) 237-3773

Other names 1

  • Cambridge Court Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0455927Cambridge Court Nursing Department4107 Central Avenue, Kearney, NE 68847Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Care Center15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215077045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 CENTRAL AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472532",
            "telephone_number": "308-237-3773",
            "fax_number": "308-234-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 CENTRAL AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472532",
            "telephone_number": "308-237-3773",
            "fax_number": "308-234-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLENDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "719-481-5481"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "ALF024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge Court",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.