NPIMap

Organization Active NPI

Bethesda Long Term Care, Inc.

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1497721880
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
593 Issued in MO
Legal business name
BETHESDA LONG TERM CARE, INC.
Practice address
9645 Big Bend Blvd
Saint Louis, MO 63122-6521
Phone
(314) 968-5460
Fax
(314) 968-5253
NPI assigned
Feb 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph J Brinker
Title
Executive Vice President
Phone
(314) 800-1986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 593 MO Primary

Addresses

Primary practice location

9645 Big Bend Blvd
Saint Louis, MO 63122-6521

Mailing address

9645 Big Bend Blvd
Saint Louis, MO 63122-6521
Phone (314) 968-5460

Other names 1

  • Bethesda Dilworth Adult Day Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Gen Hosp Homes5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497721880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226521",
            "telephone_number": "314-968-5460",
            "fax_number": "314-968-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226521",
            "telephone_number": "314-968-5460",
            "fax_number": "314-968-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA LONG TERM CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRINKER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "314-800-1986",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Dilworth Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.