Bethesda Farm

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BETHESDA FARM

Practice address

12085 60TH Ave
Allendale, MI 49401-9761

Phone

(616) 318-8393

Fax

(616) 318-8393

NPI assigned

May 24, 2017

Organization subpart

No

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

Authorized official

Name

John Fitzgerald Evans

Title

President

Phone

(616) 318-8393

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1447788245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12085 60TH AVE",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019761",
            "telephone_number": "616-318-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12085 60TH AVE",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019761",
            "telephone_number": "616-318-8393",
            "fax_number": "616-318-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA FARM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FITZGERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-318-8393"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Lyn Bell, BSN, RN
• Cornelia Von Lersner Benson, OTR/L;CHT
• Kari Bergakker
• Jonas P Berlin, DO
• Meghan Marea Berry, ATC
• Blue Bridge Dental PLLC
• Brian Emil Bossick, PH.D.
• Izabelle Bostelaar
• Matthew Philip Boyd, M.D.
• Jodi L Briggs, MSPT

• Developmentally Disabled Services Day Training Agency in Allendale, MI
• Providers in Allendale, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.