NPIMap

Organization Active NPI

Bethesda Lutheran Homes & Services Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Plainfield, IL
National Provider Identifier
1548415342
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
BETHESDA LUTHERAN HOMES & SERVICES INC
Practice address
14907 S Eastern Ave
Plainfield, IL 60544-3151
Phone
(815) 436-1901
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Mr. Jeffrey A Kaczmarski
Title
Clao
Phone
(920) 206-4406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

14907 S Eastern Ave
Plainfield, IL 60544-3151

Mailing address

600 Hoffmann Dr
Watertown, WI 53094-6223
Phone (920) 261-3050

National Provider Directory

National Provider Directory
Tax ID family
Ablelight Inc29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

14907 S Eastern Ave
Plainfield, IL 60544
Phone (815) 436-1901

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1548415342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOFFMANN DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530946223",
            "telephone_number": "920-261-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14907 S EASTERN AVE",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443151",
            "telephone_number": "815-436-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA LUTHERAN HOMES & SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "KACZMARSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLAO",
        "authorized_official_telephone_number": "920-206-4406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.