Bethesda Long Term Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032050 Issued in MO

Legal business name

BETHESDA LONG TERM CARE, INC.

Practice address

322 Old State Rd
Ellisville, MO 63021-5917

Phone

(636) 227-3431

Fax

(636) 394-5037

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph J Brinker

Title

Executive Vice President

Phone

(314) 800-1988

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bethesda Meadow Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Bethesda Long Term Care, Inc.

  • Skilled Nursing Facility
  • Saint Louis, MO
  • NPI 1750357950

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarina T Phatak, MD

  • Internal Medicine Physician
  • Manchester, MO
  • NPI 1366556912
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1922074111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 DES PERES RD",
            "address_2": "STE 290",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311800",
            "telephone_number": "314-800-1900",
            "fax_number": "314-800-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 OLD STATE RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630215917",
            "telephone_number": "636-227-3431",
            "fax_number": "636-394-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA LONG TERM CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "BRINKER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "314-800-1988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106056609",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Meadow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marla Belogorodskiy
• Jordy E Berger
• Carol Elaine Bergmann, AUD.,CCC-A
• Carol Hill Bernstein, PT
• Bethesda Foundation
• Kylie Betz
• Nicholas F Blair, RPH
• Melissa Blenker, PHARMD
• Bloomy'S Laser Dentistry
• Whitney Blount

• Skilled Nursing Facility in Ellisville, MO
• Providers in Ellisville, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.