Bethel Assisted Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11074 Issued in FL

Legal business name

BETHEL ASSISTED LIVING INC

Practice address

1564 Welter St SE
Palm Bay, FL 32909-6401

Phone

(321) 223-3177

Fax

(321) 872-0751

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Bernadette St. Louis

Title

Administrator

Phone

(321) 872-0751

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1255509204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 WELTER ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096401",
            "telephone_number": "321-223-3177",
            "fax_number": "321-872-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 WELTER ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096401",
            "telephone_number": "321-223-3177",
            "fax_number": "321-872-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "ST. LOUIS",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-872-0751"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jami Lynn Berry, APRN
• Bert Misner OD & Associates, Inc
• Andre Jean Berube, DMD
• Colleen Bessa, COTA
• Bethel Assisted Living Facility, LLC
• Better Together Psychological Services, LLC
• Alexandra Muir Beuttell, DNP
• Beyond Balance Therapy Services LLC
• Kantilal Bhalani, MD
• Linsha Bhusal

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.