Bethel Ridge, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF1090309 Issued in VA

Legal business name

BETHEL RIDGE, INC.

Practice address

10535 Lee Hwy
Fincastle, VA 24090-4571

Phone

(540) 992-6226

NPI assigned

Mar 1, 2012

Last updated

Mar 1, 2012By 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

Margo Brake

Title

Owner/Administrator

Phone

(540) 992-6226

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1972877454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 LEE HWY",
            "city": "FINCASTLE",
            "state": "VA",
            "postal_code": "240904571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 LEE HWY",
            "city": "FINCASTLE",
            "state": "VA",
            "postal_code": "240904571",
            "telephone_number": "540-992-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL RIDGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "BRAKE",
        "authorized_official_first_name": "MARGO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "540-992-6226"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "ALF1090309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kenna Noel Blankenship, FNP-C
• Botetourt County Board of Supervisors
• Botetourt County Public Schools
• Sandra Brinkley, RD
• Robert G Collins, M.D.

• Assisted Living Facility in Fincastle, VA
• Providers in Fincastle, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.