BETHPHAGE (NPI# 1538371521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538371521 |
| Entity Type | Organization |
| Organization Name | BETHPHAGE |
| Practice Address |
920 Lobo Canyon Rd Suite 5a Grants NM 87020-2173 |
| Mailing Address |
4980 S 118th St Omaha NE 68137-2220 |
| Practice Telephone | 5052879333 |
| Practice Fax Number | 5052879336 |
| Mailing Telephone | 4028963884 |
| Mailing Fax Number | 4028944780 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEAN WILSON (VP ACCOUNTING) |
| Authorized Official Telephone | 4028963884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | E7465 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | BETHPHAGE | 4980 South 118th Street, Omaha, NE 68137 |
| Oklahoma Business Registrations | BETHPHAGE | 4980 S 118th St Ste A, Omaha, NE 68137 |
| Indiana Business Entities | BETHPHAGE COMMUNITY SERVICES INC | 11128 John Galt Blvd 500, Omaha, NE 68137 |
| Connecticut Business Registrations | BETHPHAGE COMMUNITY SERVICES, INC. | Michael P. Geis, 11128 John Galt Blvd#500, Omaha, NE 68137 |
| Oklahoma Business Registrations | BETHPHAGE HOUSING CORP. VI, INC. | Lind Center 4980 S 118th St, Omaha, NE 68137 |
| Oklahoma Business Registrations | BETHPHAGE MISSION SOUTH, INC. | 4980 S 118th St, Omaha, NE 68137 |
| Virginia Business Entities | Bethphage Outreach | 5020 Lynnhaven Pkwy #402, Virginia Beach, Virginia 23464 |
| Indiana Business Entities | BETHPHAGE, INC. | 4980 South 118th Street, Omaha, NE 68137-2220 |
| Street Address |
920 LOBO CANYON RD SUITE 5A |
| City | GRANTS |
| State | NM |
| Zip Code | 87020-2173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669693594 | Mosaic | Specialist | 920 Lobo Canyon Rd, Suite 5a, Grants, NM 87020-2173 | 2007-05-01 |
| 1467818518 | Sundance Dental Care of Grants | Dentist | 920 Lobo Canyon Rd, Grants, NM 87020-2173 | 2016-01-05 |
| 1649482639 | Bethphage Mission West | Specialist | 920 Lobo Canyon Rd, Suite 5a, Grants, NM 87020-2173 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1295382265 | Janell Marie Villalobos | Registered Nurse | 813 Mesa Blvd., Grants, NM 87020 | 2019-08-23 |
| 1396243390 | Las Brisas Enterprises, LLC | Clinic/Center | 1209 Bonita Ave Suite A, Grants, NM 87020 | 2018-01-25 |
| 1407386014 | Wilma Beverly White | Occupational Therapy Assistant | 200 Adams, Grants, NM 87020 | 2017-06-15 |
| 1063840551 | Patricia Thompson | Nurse Practitioner | 2111 Lobo Canyon Rd, Grants, NM 87020 | 2013-10-22 |
| 1063778512 | Adobe Foot and Ankle Specialists, P.C. | Podiatrist | 765 E. Roosevelt Ave., Grants, NM 87020 | 2012-04-10 |
| 1841588506 | Saint Mary Nonemergency Medical Transportatio | Non-emergency Medical Transport (VAN) | 1325 Saddlehorn Trail, Grants, NM 87020 | 2011-07-15 |
| 1801129416 | Tammy L. White | Social Worker | 2595 West Highway 66, Grants, NM 87020 | 2009-09-14 |
| 1720236524 | Martha Abeyta | Nurse Practitioner | 1210 Mt. Taylor Ave, Grants, NM 87020 | 2008-09-04 |
| 1780869255 | Lou G. Mazon-vigil | Homeopath | 1300 Del Norte Blvd, Grants, NM 87020 | 2008-01-03 |
| Find all providers in zip 87020 | ||||
| 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 |
|---|---|---|---|---|
| 1851449532 | Family Connections | Community/Behavioral Health | 317 W Stephens Ave, Grants, NM 87020-2548 | 2007-01-08 |
| 1578161667 | Brittany Cook | Community/Behavioral Health | 1040 Sakelares Blvd, Grants, NM 87020-3819 | 2020-10-12 |
| 1710519525 | C.o.p.e Counseling LLC | Community/Behavioral Health | 108 E High St, Grants, NM 87020-2453 | 2020-02-10 |
| 1093127045 | Presbyterian Medical Services | Community/Behavioral Health | 833 E Roosevelt Ave, Grants, NM 87020-2115 | 2014-05-27 |
| 1760799829 | Aspects Treatment & Learning Center | Community/Behavioral Health | 103 Goltz Dr, Grants, NM 87020-2155 | 2010-09-09 |
| 1902047160 | Sierra Vista Counseling, LLC | Community/Behavioral Health | 1109 Mesa Blvd, Suite D, Grants, NM 87020-3038 | 2009-03-18 |
| 1295910065 | Beverly Michael | Community/Behavioral Health | 1109 Mesa Blvd, Suite D, Grants, NM 87020-3038 | 2007-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345328 | The People's Counseling and Consulting, LLC | Community/Behavioral Health | 4718 Idlewilde Ln Se, Albuquerque, NM 87108-3424 | 2020-10-28 |
| 1861090342 | Rio Grande Emdr Therapy, LLC | Community/Behavioral Health | 6 Sierra Vista Drive, Cedar Crest, NM 87008 | 2020-10-15 |
| 1306443924 | Recovery Innovations, Inc | Community/Behavioral Health | 1850 Copper Loop Bldg B, Las Cruces, NM 88005-8139 | 2020-10-06 |
| 1689271413 | Thriving Mind LLC | Community/Behavioral Health | 4612 Huyana Dr Nw, Albuquerque, NM 87120-5597 | 2020-10-05 |
| 1922612951 | Connections Counseling LLC | Community/Behavioral Health | 11920 Dahlia Ave Se, Albuquerque, NM 87123-2470 | 2020-09-08 |
| 1538771357 | Ariane Mahmud-ghazi, LLC | Community/Behavioral Health | 1604 Young St, Santa Fe, NM 87505-3504 | 2020-08-21 |
| 1790301026 | Capitan Therapy & Behavioral Health | Community/Behavioral Health | 102 East Smokey Bear Blvd, Capitan, NM 88316 | 2020-06-23 |
| 1396360871 | Integrity Behavior Improvement Services, LLC | Community/Behavioral Health | 1916 Amherst Dr Ne, Albuquerque, NM 87106-1105 | 2020-06-10 |
| 1871116236 | Carsal LLC | Community/Behavioral Health | 6501 4th St Nw Ste E2, Los Ranchos, NM 87107-5800 | 2020-05-20 |
| 1023647096 | Inner Peace Outreach LLC | Community/Behavioral Health | 3107 San Mateo Blvd Ne, Albuquerque, NM 87110-1921 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BETHPHAGE.
| 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.