Organization Active NPI

Bethel Health Care Corp

Doing business as Good Hope Manor

  • Assisted Living Facility
  • Oakland Park, FL
National Provider Identifier
1255675922
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
8627 Issued in FL
Legal business name
BETHEL HEALTH CARE CORP
Doing business as
Good Hope Manor
Practice address
2251 NW 29TH CT
Oakland Park, FL 33311-2147
Phone
(954) 677-2900
Fax
(954) 486-5335
NPI assigned
Nov 19, 2012
Last updated
Nov 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Mr. Solomon Mathew
Title
President
Phone
(954) 940-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 8627 FL Primary

Addresses

Primary practice location

2251 NW 29TH CT
Oakland Park, FL 33311-2147

Mailing address

2251 NW 29TH CT
Oakland Park, FL 33311-2147
Phone (954) 677-2900

Other identifiers 1

IdentifierTypeStateIssuer
412519600MedicaidFL

Other names 1

  • Good Hope Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1255675922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 NW 29TH CT",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333112147",
            "telephone_number": "954-677-2900",
            "fax_number": "954-486-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 NW 29TH CT",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333112147",
            "telephone_number": "954-677-2900",
            "fax_number": "954-486-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL HEALTH CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-940-8555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412519600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Hope Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.