NPIMap

Organization Active NPI

Bethany Christian Services USA, LLC

  • Foster Care Agency
  • Grand Rapids, MI
National Provider Identifier
1790055788
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
BETHANY CHRISTIAN SERVICES USA, LLC
Practice address
1050 36TH St SE
400
Grand Rapids, MI 49508-5580
Phone
(616) 965-8096
Fax
(616) 254-7750
NPI assigned
Jan 6, 2012
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Brian J DevosNPI 1740339597
Title
Michigan Director of Operation
Phone
(616) 254-7717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

1050 36TH St SE
400
Grand Rapids, MI 49508-5580

Mailing address

1050 36TH St SE
400
Grand Rapids, MI 49508-5580
Phone (616) 965-8096

National Provider Directory

National Provider Directory

Locations

1050 36th St SE
Ste 400
Grand Rapids, MI 49508
Phone (616) 965-8096

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1790055788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 36TH ST SE",
            "address_2": "400",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085580",
            "telephone_number": "616-965-8096",
            "fax_number": "616-254-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 36TH ST SE",
            "address_2": "400",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085580",
            "telephone_number": "616-965-8096",
            "fax_number": "616-254-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CHRISTIAN SERVICES USA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "DEVOS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MICHIGAN DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "616-254-7717"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.