Bethany Care Center L.L.C

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

804010 Issued in MI

Legal business name

BETHANY CARE CENTER L.L.C

Doing business as

Metron of Bloomingdale

Practice address

42235 County Road 390
Bloomingdale, MI 49026-8753

Phone

(269) 521-3383

Fax

(269) 521-3370

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. J Lindsey Dood

Title

Executive Vice President / Cfo

Phone

(616) 975-5287

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Metron of Bloomingdale Doing business as

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1245242676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 ORCHARD VISTA DR SE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467069",
            "telephone_number": "616-957-3957",
            "fax_number": "616-957-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42235 COUNTY ROAD 390",
            "city": "BLOOMINGDALE",
            "state": "MI",
            "postal_code": "490268753",
            "telephone_number": "269-521-3383",
            "fax_number": "269-521-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CARE CENTER L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "DOOD",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT / CFO",
        "authorized_official_telephone_number": "616-975-5287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "804010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "9742",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3018617",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metron of Bloomingdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allegan County 4-H Clubs
• Bloomingdale Care Operating Co LLC
• Bloomingdale Senior Services LLC
• Gustavo Bonilla Alejandro
• Breeze Medical Equipment, LLC
• Companion Care Ih-Home Help Aides, LLC

• Skilled Nursing Facility in Bloomingdale, MI
• Providers in Bloomingdale, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.