Organization Active NPI

Bethel Residential Homes

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chesterfield, VA
National Provider Identifier
1831440783
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
12358 Issued in VA
Legal business name
BETHEL RESIDENTIAL HOMES
Practice address
15601 Chesdin Landing Ter
Chesterfield, VA 23838-3242
Phone
(804) 617-3159
Fax
(804) 504-0057
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Ms. Lena Jeannette Thomas-Oliver, M.S
Title
Owner/Director
Phone
(804) 617-3159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 12358 VA Primary

Addresses

Primary practice location

15601 Chesdin Landing Ter
Chesterfield, VA 23838-3242

Mailing address

15601 Chesdin Landing Ter
Chesterfield, VA 23838-3242
Phone (804) 617-3159

National Provider Directory

National Provider Directory
Tax ID family
Bethel Residential Homes2 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.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1831440783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 CHESDIN LANDING TER",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238383242",
            "telephone_number": "804-617-3159",
            "fax_number": "804-504-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15601 CHESDIN LANDING TER",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238383242",
            "telephone_number": "804-617-3159",
            "fax_number": "804-504-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL RESIDENTIAL HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS-OLIVER",
        "authorized_official_first_name": "LENA",
        "authorized_official_middle_name": "JEANNETTE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "804-617-3159",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "12358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.