Bethesda Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BETHESDA HOMES LLC

Practice address

6924 France Ave N
Brooklyn Park, MN 55429-1404

Phone

(763) 269-9313

NPI assigned

Jan 30, 2022

Last updated

Jan 30, 2022By 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

Mel Melchizedek

Title

Manager

Phone

(763) 269-9313

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1467105551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 FRANCE AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554291404",
            "telephone_number": "763-269-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6924 FRANCE AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554291404",
            "telephone_number": "763-269-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "MELCHIZEDEK",
        "authorized_official_first_name": "MEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-269-9313"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "address_1": "6924 France Ave N",
            "city": "Brooklyn Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554291404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.