Bethany Adult Day Services, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BETHANY ADULT DAY SERVICES, LLC

Doing business as

Bethany Adult Day Services, LLC

Practice address

3321 E 26TH St Ste 4
Sioux Falls, SD 57103-4144

Phone

(605) 251-6488

NPI assigned

Jan 18, 2024

Last updated

Jan 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Queencilia Edmond Edmond Ngandu

Title

Ceo

Phone

(605) 251-6442

Specialties & licenses 1

Addresses

Other names 1

• Bethany Adult Day Services, LLC Doing business as

Locations

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1821859620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N DUBUQUE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571105792",
            "telephone_number": "605-251-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 E 26TH ST STE 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034144",
            "telephone_number": "605-251-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY ADULT DAY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "NGANDU",
        "authorized_official_first_name": "QUEENCILIA EDMOND",
        "authorized_official_middle_name": "EDMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-251-6442"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Adult Day Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Adult Day Care Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.