BETHANY RESIDENTIAL CARE, LLC – NPI #1043963291
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

BETHANY RESIDENTIAL CARE, LLC is a community based residential treatment facility located in KETTERING, OH. NPPES has assigned the NPI number 1043963291 to BETHANY RESIDENTIAL CARE, LLC on January 28, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based 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 BETHANY RESIDENTIAL CARE, LLC below.

NPI Profile for
BETHANY RESIDENTIAL CARE, LLC

NPI Number
1043963291
Enumeration Date

(more than 4 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
BETHANY RESIDENTIAL CARE, LLC
Primary location
5632 CHIMNEY CIR
KETTERING, OH 45440-4259
Phone: (207) 518-0783 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALBERT MUKUNDA
OWNER
Phone: (207) 518-0783
Updated
Certification Date
Jan 28, 2022

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
320900000X
- Community Based 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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
Devices
Endpoint type
SOAP URL
Endpoint Description
ELECTRONIC DEVICES
Content Type
CSV
Affiliation
N
Endpoint Location
5632 CHIMNEY CIR,
KETTERING, OH 77025-1669