NPIMap

Organization Active NPI

Bethesda Foundation

  • Assisted Living Facility
  • Colorado Springs, CO
National Provider Identifier
1801936646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL0057 Issued in CO
Legal business name
BETHESDA FOUNDATION
Practice address
2045 Roanoke St
Colorado Springs, CO 80906-3451
Phone
(719) 471-2285
Fax
(719) 634-0491
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Julie Callender
Title
Sr. Vice President
Phone
(719) 481-5481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL0057 CO Primary

Addresses

Primary practice location

2045 Roanoke St
Colorado Springs, CO 80906-3451

Mailing address

2045 Roanoke St
Colorado Springs, CO 80906-3451
Phone (719) 471-2285

Other identifiers 1

IdentifierTypeStateIssuer
72657511MedicaidCO

Other names 1

  • Broadmoor Court Other name

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Care Center15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801936646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 ROANOKE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063451",
            "telephone_number": "719-471-2285",
            "fax_number": "719-634-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 ROANOKE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063451",
            "telephone_number": "719-471-2285",
            "fax_number": "719-634-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLENDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "719-481-5481"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL0057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72657511",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadmoor Court",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.