Organization Active NPI

The House of Bethesda

  • Psychiatric Residential Treatment Facility
  • Lawndale, CA
National Provider Identifier
1629526504
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
191601689 Issued in CA
Legal business name
THE HOUSE OF BETHESDA
Practice address
14614 Firmona Ave
Lawndale, CA 90260-1339
Phone
(310) 675-1444
Fax
(310) 675-1333
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Mr. Robert Earl Smith
Title
Executive Director
Phone
(310) 675-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 191601689 CA Primary

Addresses

Primary practice location

14614 Firmona Ave
Lawndale, CA 90260-1339

Mailing address

14614 Firmona Ave
Lawndale, CA 90260-1339
Phone (310) 675-1444

National Provider Directory

National Provider Directory
Tax ID family
The House of Bethesda2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1629526504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14614 FIRMONA AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601339",
            "telephone_number": "310-675-1444",
            "fax_number": "310-675-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14614 FIRMONA AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601339",
            "telephone_number": "310-675-1444",
            "fax_number": "310-675-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOUSE OF BETHESDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-675-1444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "191601689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.