Bethel Agency

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BETHEL AGENCY

Practice address

998 S Zeno Way
Aurora, CO 80017-3329

Phone

(720) 288-3979

NPI assigned

Jul 23, 2020

Organization subpart

No

Name

Nathan Mwadiambala Lukate

Title

Director

Phone

(720) 288-3979

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2020.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1356950679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 S ZENO WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800173329",
            "telephone_number": "720-288-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 S ZENO WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800173329",
            "telephone_number": "720-288-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "MWADIAMBALA LUKATE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "720-288-3979"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.