Bethlehem House Residence

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BETHLEHEM HOUSE RESIDENCE

Practice address

130 E 30TH St
Indianapolis, IN 46205-3904

Phone

(317) 920-1519

Fax

(317) 920-1515

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Nathan L Rush

Title

Executive Director

Phone

(317) 920-1519

Specialties & licenses 1

Addresses

Tax ID family

Bethlehem House Residence2 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.

• Bethlehem House Residence, Inc

  dba The Bethlehem Hosue

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Indianapolis, IN
  • NPI 1962779389
  NPD tax ID

Locations

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1659755544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 30TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053904",
            "telephone_number": "317-920-1519",
            "fax_number": "317-920-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 30TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053904",
            "telephone_number": "317-920-1519",
            "fax_number": "317-920-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM HOUSE RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-920-1519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Michel Betbadal, MD
• Bethany Christian Services
• Bethany Home Healthcare Services LLC
• Bethany Home Healthcare, LLC
• Bethany Village Invenstors LLC
• Bethlehem House Residence, Inc (The Bethlehem Hosue)
• Christina Betiko, PHARMD
• Alyssa Bettag, PT, DPT
• Better Care at Home, LLC
• Better Day's Care Services LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.