NPIMap

Organization Active NPI

Bethesda Community Program, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Terrytown, LA
National Provider Identifier
1457533374
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
11318 Issued in LA
Legal business name
BETHESDA COMMUNITY PROGRAM, INC.
Practice address
1799 Stumpf Blvd
BLDG 2 Ste 6
Terrytown, LA 70056-3950
Phone
(504) 263-2947
Fax
(504) 263-2940
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Ms. Queen Nard
Title
Director
Phone
(504) 263-2947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 11318 LA Primary

Addresses

Primary practice location

1799 Stumpf Blvd
BLDG 2 Ste 6
Terrytown, LA 70056-3950

Mailing address

1799 Stumpf Blvd
BLDG 2 Ste 6
Terrytown, LA 70056-3950
Phone (504) 263-2947

Other identifiers 1

IdentifierTypeStateIssuer
1453749MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Community Programs Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1457533374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BLDG 2 STE 6",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-263-2947",
            "fax_number": "504-263-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BLDG 2 STE 6",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-263-2947",
            "fax_number": "504-263-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA COMMUNITY PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "NARD",
        "authorized_official_first_name": "QUEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-263-2947",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "11318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1453749",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.