Bethel Health Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BETHEL HEALTH SERVICES LLC

Practice address

3216 SE Grant St
Ankeny, IA 50021-9472

Phone

(302) 724-1546

NPI assigned

Mar 8, 2023

Last updated

Mar 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Mbongho

Title

President

Phone

(302) 724-1546

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Quinta Awah-Ndang Mbongho

  • Licensed Practical Nurse
  • Des Moines, IA
  • NPI 1003641093
  NPD

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1225738149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 8TH ST SE UNIT 162",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500097002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 SE GRANT ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219472",
            "telephone_number": "302-724-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "MBONGHO",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-724-1546"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Benson Thome
• Jessica Benttine, LMSW
• Carson Sharese Beresford
• Kristin Erika Berger, PHARMD
• Genevieve E Bertram
• Bilgi Childrens Clinic
• Jagadish R Bilgi, M D
• Kimberly C Bina, D.O.
• Bio-Mechanix Inc
• Birchwood Wellness

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.