NPIMap

Organization Active NPI

Bethesda Foundation

  • Assisted Living Facility
  • Saint Louis, MO
National Provider Identifier
1982745667
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
032625 Issued in MO
Legal business name
BETHESDA FOUNDATION
Practice address
11210 Schuetz Rd
Saint Louis, MO 63146-4933
Phone
(314) 993-9888
Fax
(314) 993-0005
NPI assigned
Feb 8, 2007
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Julie Callender
Title
Sr. Vice President
Phone
(719) 481-5481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 032625 MO Primary

Addresses

Primary practice location

11210 Schuetz Rd
Saint Louis, MO 63146-4933

Mailing address

11210 Schuetz Rd
Saint Louis, MO 63146-4933
Phone (314) 993-9888

Other identifiers 1

IdentifierTypeStateIssuer
266119205MedicaidMO

Other names 1

  • Autumn View Gardens Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0991721Autumn View Gardens Schuetz Road11210 Schuetz Road, Saint Louis, MO 63146Certificate of waiverSep 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Care Ctrtarkio15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1982745667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 SCHUETZ RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464933",
            "telephone_number": "314-993-9888",
            "fax_number": "314-993-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11210 SCHUETZ RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464933",
            "telephone_number": "314-993-9888",
            "fax_number": "314-993-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "CALLENDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "719-481-5481"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "032625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266119205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn View Gardens",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.