Organization Active NPI

Bethany Nursing & Rehab Center, LLC

  • Skilled Nursing Facility
  • Lakewood, CO
National Provider Identifier
1770975849
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BETHANY NURSING & REHAB CENTER, LLC
Practice address
5301 W 1St Ave
Lakewood, CO 80226-2434
Phone
(303) 238-8333
Fax
(303) 238-0464
NPI assigned
Feb 26, 2015
Last updated
Mar 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Brian Ramos
Title
Managing Member
Phone
(801) 601-1450

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary
Respite Care 385H00000X NU

Addresses

Primary practice location

5301 W 1St Ave
Lakewood, CO 80226-2434

Mailing address

5301 W 1St Ave
Lakewood, CO 80226-2434
Phone (303) 238-8333

National Provider Directory

National Provider Directory

Locations

5301 W 1st Ave
Lakewood, CO 80226
Phone (303) 238-8323

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1770975849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 W 1ST AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262434",
            "telephone_number": "303-238-8333",
            "fax_number": "303-238-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 W 1ST AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262434",
            "telephone_number": "303-238-8333",
            "fax_number": "303-238-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY NURSING & REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-601-1450"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.