Bethel Gardens LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

033030181 Issued in GA

Legal business name

BETHEL GARDENS LLC

Practice address

3805 Jackson Way
Powder Springs, GA 30127-2239

Phone

(770) 943-3620

Fax

(770) 943-3691

NPI assigned

Jul 9, 2008

Last updated

Jul 9, 2008By 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

Mr. John Lavender Shelley

Title

Owner

Phone

77094336290

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1861655722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 JACKSON WAY EXTENTION",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270710",
            "telephone_number": "770-943-3620",
            "fax_number": "770-943-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 JACKSON WAY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272239",
            "telephone_number": "770-943-3620",
            "fax_number": "770-943-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL GARDENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "SHELLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LAVENDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "77094336290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "033030181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amiee Bell, CF-SLP
• Kevin R. Bell, L.P.N.
• Jessica Leann Bennett
• Earnest Terence Benson, LPC
• Tony Bess
• Bethel Private Home Care Agency (Bethel Agency)
• Bethesda Family Practice Assoc
• Bethesda Medical Group, LLC
• Better Speech and Language
• Austin Billings

• Assisted Living Facility in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.