Bethel Residential Care Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BETHEL RESIDENTIAL CARE HOME LLC

Practice address

2909 Friendlywood Way
Burtonsville, MD 20866-1856

Phone

(240) 437-0000

NPI assigned

Dec 26, 2024

Last updated

Dec 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Asebot Fasil Abebe

Title

Manager

Phone

(240) 437-0000

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1356159180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 FRIENDLYWOOD WAY",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661856",
            "telephone_number": "240-437-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 FRIENDLYWOOD WAY",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661856",
            "telephone_number": "240-437-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL RESIDENTIAL CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "ABEBE",
        "authorized_official_first_name": "ASEBOT",
        "authorized_official_middle_name": "FASIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-437-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirukti Basi
• John Francis Battinelli, DDS
• Jennifer L Bayerle, M.S., LGMFT
• Michael Raymond Beers, D.D.S.
• Azeb Zenebe Berkeneh, CERTIFICATE
• Ralp Lagat Betonio, PT
• Nyambi Stella Bih, HHA
• Blackstone Medical Services LLC
• Karen Bleakley, RPH, PHARMD
• Block Chiropractic and Rehabilitation Center, LLC (Block Wellness, LLC)

• Assisted Living Facility in Burtonsville, MD
• Providers in Burtonsville, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.