NPIMap

Organization Active NPI

Bethesda Home of Aberdeen, Inc.

Doing business as Bethesda Adult Services

  • Adult Day Care Clinic/Center
  • Aberdeen, SD
National Provider Identifier
1942803473
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BETHESDA HOME OF ABERDEEN, INC.
Doing business as
Bethesda Adult Services
Practice address
1403 15TH Ave SE
Aberdeen, SD 57401-7792
Phone
(605) 225-7580
Fax
(605) 225-7585
NPI assigned
Nov 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Scott Eisenbeisz
Title
Ceo/Administrator
Phone
(605) 225-7580

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1403 15TH Ave SE
Aberdeen, SD 57401-7792

Mailing address

1224 S High St
Aberdeen, SD 57401-7724
Phone (605) 225-7580

Other names 1

  • Bethesda Adult Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address loribohle@aberdeenbethesda.org Direct BETHESDA HOME OF ABERDEEN, INC.

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Ho Me3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1224 S High St
Aberdeen, SD 57401
Phone (605) 225-7580

1403 15th Ave SE
Aberdeen, SD 57401
Phone (605) 225-7580

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1942803473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 S HIGH ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574017724",
            "telephone_number": "605-225-7580",
            "fax_number": "605-225-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 15TH AVE SE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574017792",
            "telephone_number": "605-225-7580",
            "fax_number": "605-225-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HOME OF ABERDEEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "EISENBEISZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "605-225-7580"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "loribohle@aberdeenbethesda.org",
            "affiliation": "Y",
            "endpointDescription": "Lori Bohle Email Address",
            "affiliationName": "BETHESDA HOME OF ABERDEEN, INC.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1224 S High St",
            "city": "Aberdeen",
            "state": "SD",
            "country_code": "US",
            "postal_code": "574017724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bethesda Adult Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.