Active NPI
Bethel Ridge Corporation
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Basking Ridge, NJ
National Provider Identifier
1295071330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- GH957
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Basking Ridge, NJ
- NPI 1750436523
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.