BETHSHAN ASSOCIATION II – NPI #1164569281
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

BETHSHAN ASSOCIATION II is a residential treatment facility located in PALOS HEIGHTS, IL. NPPES has assigned the NPI number 1164569281 to BETHSHAN ASSOCIATION II on January 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BETHSHAN ASSOCIATION II” is a dba name, the actual legal business name for this organization is BETHSHAN ASSOCIATION. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BETHSHAN ASSOCIATION II below.

NPI Profile for
BETHSHAN ASSOCIATION

NPI Number
1164569281
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BETHSHAN ASSOCIATION
Doing Business As (dba): BETHSHAN ASSOCIATION II
Primary location
12927 S MONITOR AVE
PALOS HEIGHTS, IL 60463-2434
Phone: (708) 371-0800 Fax: (708) 371-0833
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVEN GOUDZWAARD
DIRECTOR OF FINANCE
Phone: (708) 371-0800
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
IL 0030528

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.