BETHESDA HOME INCORPORATED – NPI #1801780093
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.

BETHESDA HOME INCORPORATED is a residential treatment facility located in EVANSTON, IL. NPPES has assigned the NPI number 1801780093 to BETHESDA HOME INCORPORATED on June 04, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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.

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 BETHESDA HOME INCORPORATED below.

NPI Profile for
BETHESDA HOME INCORPORATED

NPI Number
1801780093
Enumeration Date

(about a year 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
BETHESDA HOME INCORPORATED
Primary location
1420 BRUMMEL ST
EVANSTON, IL 60202-3706
Phone: (773) 428-2259 Fax: (847) 859-6227
1 Other location(s):
1420 Brummel St
Evanston, IL 60202-3706
Phone: (773) 428-2259
Fax: (847) 859-6227
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OLUGBENGA AYENI
ADMINISTRATOR
Phone: (773) 428-2259
Updated
Certification Date
Jun 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.