Organization Active NPI

Bethel Management Group Inc.

  • Custodial Care Facility
  • Brooklyn Center, MN
National Provider Identifier
1215359195
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
365299 Issued in MN
Legal business name
BETHEL MANAGEMENT GROUP INC.
Doing business as
BETHEL HOME CARE SERVICES
Practice address
5901 Brooklyn Blvd Ste 107
Brooklyn Center, MN 55429-2532
Phone
(763) 746-8566
Fax
(763) 537-1688
NPI assigned
Jan 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Mr. Joseph Boakye-Danquah
Title
President
Phone
(763) 746-8566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X 365299 MN
Custodial Care Facility 311Z00000X 365299 MN Primary

Addresses

Primary practice location

5901 Brooklyn Blvd Ste 107
Brooklyn Center, MN 55429-2532

Mailing address

5901 Brooklyn Blvd Ste 107
Brooklyn Center, MN 55429-2532
Phone (763) 746-8566

Other names 1

  • BETHEL HOME CARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bethel Home Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1215359195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 BROOKLYN BLVD STE 107",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292532",
            "telephone_number": "763-746-8566",
            "fax_number": "763-537-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 BROOKLYN BLVD STE 107",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292532",
            "telephone_number": "763-746-8566",
            "fax_number": "763-537-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL MANAGEMENT GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "BOAKYE-DANQUAH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-746-8566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "MN",
            "license": "365299",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MN",
            "license": "365299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETHEL HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.