Bethel Senior Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

128091 Issued in TX

Legal business name

BETHEL SENIOR CARE, LLC

Practice address

3005 Club Hill Dr
Garland, TX 75043-1209

Phone

(214) 566-9527

Fax

(972) 946-4794

NPI assigned

Jan 29, 2011

Last updated

Jan 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Obasa

Title

Managing Partner

Phone

(214) 566-9527

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296259200000",
    "number": "1457657082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 CLUB HILL DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431209",
            "telephone_number": "214-566-9527",
            "fax_number": "972-946-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 CLUB HILL DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431209",
            "telephone_number": "214-566-9527",
            "fax_number": "972-946-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-29",
        "last_updated": "2011-01-29",
        "status": "A",
        "authorized_official_last_name": "OBASA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "214-566-9527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "128091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Garland, TX
• Providers in Garland, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2011; 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.