BETHANY CHRISTIAN SERVICES INC. (NPI# 1528104643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528104643 |
| Entity Type | Organization |
| Organization Name | BETHANY CHRISTIAN SERVICES INC. |
| Other Organization Name | GRAND RAPIDS |
| Practice Address |
901 Eastern Ave Ne Grand Rapids MI 49503-1201 |
| Mailing Address |
901 Eastern Ave Ne P.o. Box 294 Grand Rapids MI 49503-1201 |
| Practice Telephone | 6162247617 |
| Practice Fax Number | 6162247593 |
| Mailing Telephone | 6162247617 |
| Mailing Fax Number | 6162247593 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2013-10-24 |
| Authorized Official Name | GEORGE JOHN TYNDALL (BRANCH DIRECTOR) |
| Authorized Official Telephone | 6162247617 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 635720364 | MI | Residential Treatment Facilities |
| N | 251B00000X | Case Management | CB410200976 | MI | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 410218 | MI | Agencies |
| Other Name | Type Code |
|---|---|
| Grand Rapids | Other Name - Individual/Organization |
| Street Address |
901 EASTERN AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770649600 | George John Tyndall | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2006-12-28 |
| 1497373930 | Teresa Sofia Elam | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1114555802 | Megan Griffen | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2020-03-30 |
| 1134753940 | Jacinta Marie Glashower | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2020-03-02 |
| 1013557586 | Elise Margaret Meyer | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2020-01-13 |
| 1821655317 | Amanda Clapper | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2019-05-21 |
| 1134680408 | Frank Antonio Mcginnis | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2019-03-28 |
| 1730656471 | Yaineabeba D. Tadese | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2018-10-31 |
| 1174007512 | Christie Martin | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2018-09-21 |
| 1194227439 | Janice Heinlen | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2018-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013487990 | Compass Behavioral Health LLC | Community/Behavioral Health | 2214 Norway St, Grand Rapids, MN 55744-9654 | 2018-12-04 |
| 1972041721 | Community Recovery Counseling Center, Pllc | Community/Behavioral Health | 1975 Jefferson Ave Se, Grand Rapids, MI 49507-2511 | 2017-02-01 |
| 1275079923 | Kool Counseling, LLC | Community/Behavioral Health | 2335 Burton St Se, Suite 130, Grand Rapids, MI 49506-4669 | 2017-01-18 |
| 1700253895 | Living Well Recreation Therapy | Community/Behavioral Health | 1351 Sherman St Se, Grand Rapids, MI 49506-2613 | 2015-08-25 |
| 1699157677 | First Call for Help of Itasca County | Community/Behavioral Health | 1007 Nw 4th St, Grand Rapids, MN 55744-2203 | 2015-06-25 |
| 1417355322 | Melita Travis Johnson, Lmsw, Ccdp | Community/Behavioral Health | 770 Kenmoor Ave Se Ste 103, Grand Rapids, MI 49546-8602 | 2014-12-09 |
| 1093134926 | J Hill Psychological Services L.l.c | Community/Behavioral Health | 201 Nw 4th St Ste 7, Grand Rapids, MN 55744-2753 | 2014-04-08 |
| 1457774242 | The Asian Center | Community/Behavioral Health | 4040 Fulton St E, Grand Rapids, MI 49546-1352 | 2014-01-29 |
| 1083059141 | Joyce Lenise Williams | Community/Behavioral Health | 1440 Fuller Ave Se, Grand Rapids, MI 49507-2191 | 2013-05-02 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on BETHANY CHRISTIAN SERVICES INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.