Bethel Assisted Living Facility, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12711 Issued in FL

Legal business name

BETHEL ASSISTED LIVING FACILITY, LLC

Practice address

411 Oceanside St SW
Palm Bay, FL 32908-7127

Phone

(321) 821-7498

Fax

(321) 325-8040

NPI assigned

Oct 23, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Junia F Osier

Title

Administrator / Owner

Phone

(321) 961-1056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1881066363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 OCEANSIDE ST SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329087127",
            "telephone_number": "321-821-7498",
            "fax_number": "321-325-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 OCEANSIDE ST SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329087127",
            "telephone_number": "321-821-7498",
            "fax_number": "321-325-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL ASSISTED LIVING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "OSIER",
        "authorized_official_first_name": "JUNIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR / OWNER",
        "authorized_official_telephone_number": "321-961-1056",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junie Benoit
• Jami Lynn Berry, APRN
• Bert Misner OD & Associates, Inc
• Andre Jean Berube, DMD
• Colleen Bessa, COTA
• Bethel Assisted Living Inc
• Better Together Psychological Services, LLC
• Alexandra Muir Beuttell, DNP
• Beyond Balance Therapy Services LLC
• Kantilal Bhalani, MD

• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.