BETHESDA LUTHERAN HOMES & SVCS INC – NPI #1780874057
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.

BETHESDA LUTHERAN HOMES & SVCS INC is a community based residential treatment facility located in KIRKWOOD, MO. NPPES has assigned the NPI number 1780874057 to BETHESDA LUTHERAN HOMES & SVCS INC on August 01, 2007. 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.

The NPI profile was previously updated about 16 years ago on Nov 24, 2010. 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 LUTHERAN HOMES & SVCS INC below.

NPI Profile for
BETHESDA LUTHERAN HOMES & SVCS INC

NPI Number
1780874057
Enumeration Date

(about 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
BETHESDA LUTHERAN HOMES & SVCS INC
Primary location
1019 S GEYER RD
KIRKWOOD, MO 63122-7105
Phone: (314) 821-2986 Fax:
Mailing address
600 HOFFMANN DR
WATERTOWN, WI 53094-6223
Phone: (920) 261-3050 Fax:
Organization Subpart
No
Authorized Official
JEFF KACZMARSKI
CORPORATE LAWYER
Phone: (920) 261-3050
Updated
Identifiers

Identifiers for BETHESDA LUTHERAN HOMES & SVCS INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO856131206
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.