Organization Active NPI

Bethel Ridge Corporation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Basking Ridge, NJ
National Provider Identifier
1295071330
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH957 Issued in NJ
Legal business name
BETHEL RIDGE CORPORATION
Practice address
175 S Maple Ave
Basking Ridge, NJ 07920-1280
Phone
(908) 221-0801
Fax
(908) 221-9169
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Mrs. Caroline Nesmith
Title
Executive Director
Phone
(908) 221-0801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH957 NJ Primary

Addresses

Primary practice location

175 S Maple Ave
Basking Ridge, NJ 07920-1280

Mailing address

PO Box 138
Basking Ridge, NJ 07920-0138
Phone (908) 221-0801

National Provider Directory

National Provider Directory
Tax ID family
Bethel Ridge Corp2 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": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1295071330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 138",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079200138",
            "telephone_number": "908-221-0801",
            "fax_number": "908-221-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S MAPLE AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201280",
            "telephone_number": "908-221-0801",
            "fax_number": "908-221-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL RIDGE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "NESMITH",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-221-0801",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.