Mo Bethel, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MO BETHEL, LLC

Practice address

5214 Rollingstone Rd
Richmond, TX 77407-4133

Phone

(713) 459-7861

Fax

(281) 857-6658

NPI assigned

Aug 16, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Oritsemoyogbemi Nagocson Edema

Title

Managing Member

Phone

(713) 459-7861

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alero Edema

  • Registered Nurse
  • Richmond, TX
  • NPI 1023610847
  NPD (past)

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250380800000",
    "number": "1376775916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 ROLLINGSTONE RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074133",
            "telephone_number": "713-459-7861",
            "fax_number": "281-857-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 ROLLINGSTONE RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074133",
            "telephone_number": "713-459-7861",
            "fax_number": "281-857-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MO BETHEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-16",
        "last_updated": "2009-08-16",
        "status": "A",
        "authorized_official_last_name": "EDEMA",
        "authorized_official_first_name": "ORITSEMOYOGBEMI",
        "authorized_official_middle_name": "NAGOCSON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "713-459-7861",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Richmond, TX
• Providers in Richmond, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2009; 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.