Bethany of the Northwest

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

BH1346 Issued in WA

Legal business name

BETHANY OF THE NORTHWEST

Doing business as

Bethany at Silver Crest

Practice address

2131 Lake Heights Drive
Everett, WA 98208

Phone

(425) 551-6343

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Prad Gupta

Title

Finance Director

Phone

(425) 551-6402

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bethany at Silver Crest Doing business as

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

CLIA laboratory certificates

Tax ID family

Bethany of the Northwest3 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.

• Bethany of the Northwest

  • Skilled Nursing Facility
  • Everett, WA
  • NPI 1003879800
  NPD tax ID
• Bethany of the Northwest

  • Skilled Nursing Facility
  • Everett, WA
  • NPI 1497884043
  NPD tax ID

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972715605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5128",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98206",
            "telephone_number": "425-551-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 LAKE HEIGHTS DRIVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98208",
            "telephone_number": "425-551-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY OF THE NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "PRAD",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "425-551-6402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH1346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219178",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany at Silver Crest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth'S Adult Family Home LLC
• Bethany Home Health LLC
• Bethany Hospice, LLC
• Bethany of the Northwest
• Bethany of the Northwest
• Bethany Pharmaceuticals LLC
• Charles Robert Betker II, LMP
• Better Health
• Heather Lynne Betts, LMT
• Kameron Betts

• Assisted Living Facility in Everett, WA
• Providers in Everett, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.