Bethlehem Lutheran Church

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BETHLEHEM LUTHERAN CHURCH

Doing business as

Bethlehem Intergenerational Center

Practice address

250 Commerce Ave SW
Grand Rapids, MI 49503

Phone

(616) 456-7509

Fax

(616) 456-1759

NPI assigned

Feb 21, 2018

Last updated

Feb 21, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

BETHLEHEM LUTHERAN CHURCHAs reported in NPPES

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

Authorized official

Name

Susan Marie Schuelke-Davidson

Title

Director

Phone

(616) 456-7509

Specialties & licenses 1

Addresses

Other names 1

• Bethlehem Intergenerational Center Doing business as

Part of

Bethlehem Lutheran Church

Locations

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1467953992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COMMERCE AVE SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-456-7509",
            "fax_number": "616-456-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COMMERCE AVE SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-456-7509",
            "fax_number": "616-456-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM LUTHERAN CHURCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETHLEHEM LUTHERAN CHURCH",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "SCHUELKE-DAVIDSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-456-7509"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethlehem Intergenerational Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany Christian Services
• Bethany Christian Services
• Bethany Christian Services Inc.
• Bethany Christian Services USA, LLC
• Diane Bethany
• Craig H Bethune, D.O.
• Nicole Caroline Betke
• Betsy Meier Counseling PLLC
• Betsy Rosenbrook Therapy
• Better Days Therapy LLC

• Adult Day Care Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.