Bethel House Afh LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

BETHEL HOUSE AFH LLC

Practice address

2510 B CT
Enumclaw, WA 98022-2003

Phone

(206) 859-3112

NPI assigned

May 1, 2024

Last updated

May 1, 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

Selina Muthoni

Title

Afh Provider

Phone

(206) 859-3112

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1871340646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 B CT",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 B CT",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222003",
            "telephone_number": "206-859-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5465 Kinross Rd SW",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983675073",
            "country_code": "US",
            "telephone_number": "206-859-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETHEL HOUSE AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "MUTHONI",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "AFH PROVIDER",
        "authorized_official_telephone_number": "206-859-3112"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Becker, DO
• K'la Jade Benson, D.D.S.
• Justin Andrew Bergstrom, D.C.
• Neil E Bergstrom, D.D.S.
• Todd Alan Bergstrom, D.C.
• David R Bhaskar, MD
• Nataliya Bilan, PA-C
• David H Bishop, M.D.
• Sandra Lee Blakeney-Butler
• Janelle Blakey

• Adult Care Home Facility in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.