NPIMap

Organization Active NPI

Bethesda Foundation

  • Assisted Living Facility
  • Springfield, MO
National Provider Identifier
1437299252
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
031831 Issued in MO
Legal business name
BETHESDA FOUNDATION
Practice address
1302 W Sunset St
Springfield, MO 65807-5943
Phone
(417) 889-7600
Fax
(417) 889-2477
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Julie Callender
Title
Sr. Vice President
Phone
(719) 481-5481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 031831 MO Primary

Addresses

Primary practice location

1302 W Sunset St
Springfield, MO 65807-5943

Mailing address

1302 W Sunset St
Springfield, MO 65807-5943
Phone (417) 889-7600

Other names 1

  • The Gardens Assisted Living Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0926584Gardens Assisted Living,the1302 W Sunset, Springfield, MO 65807Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Care Center15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437299252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 W SUNSET ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075943",
            "telephone_number": "417-889-7600",
            "fax_number": "417-889-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 W SUNSET ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075943",
            "telephone_number": "417-889-7600",
            "fax_number": "417-889-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLENDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "719-481-5481"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "031831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Gardens Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.