BETHANY CHRISTIAN SERVICES (NPI# 1861518631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861518631 |
| Entity Type | Organization |
| Organization Name | BETHANY CHRISTIAN SERVICES |
| Practice Address |
6995 W 48th St Fremont MI 49412-9506 |
| Practice Telephone | 2319243390 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVE GLERUM (DIRECTOR) |
| Authorized Official Telephone | 2319243390 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN | 8008964490 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328781 | Bethany Christian Services | Marriage & Family Therapist | 230 Great Circle Rd Ste 229, Nashville, TN 37228-1732 | 2019-07-18 |
| 1548792047 | Bethany Christian Services | Social Worker | 706 Warwick Ave, Warwick, RI 02888-2670 | 2017-04-03 |
| 1912447897 | Bethany Christian Services | Social Worker | 188 Ben Burton Cir, Unit 100, Bogart, GA 30622-6802 | 2017-02-27 |
| 1235590043 | Bethany Christian Services | Social Worker | 892 Marshall St, Allegan, MI 49010-1637 | 2016-03-08 |
| 1386067445 | Bethany Christian Services | Social Worker | 287 Independence Blvd Ste 241, Virginia Beach, VA 23462-2956 | 2014-01-27 |
| 1760728182 | Bethany Christian Services | Social Worker | 3000 S Race St, Denver, CO 80210-6331 | 2012-12-13 |
| 1275813453 | Bethany Christian Services | Community/Behavioral Health | 1050 36th St Se, Grand Rapids, MI 49508 | 2011-08-19 |
| 1508186768 | Bethany Christian Services | Social Worker | 7172 Graham Rd, Indianapolis, IN 46250-2649 | 2010-06-10 |
| 1770749079 | Bethany Christian Services | Counselor | 210 E Washington St, Jackson, MO 63755-1448 | 2008-08-06 |
| 1356509657 | Bethany Christian Services | Foster Care Agency | 7827 Old York Road, Elkins Park, PA 19027-2508 | 2008-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BETHANY CHRISTIAN SERVICES | 183 High St, Candia, NH 03034 |
| Iowa Business Entities | BETHANY CHRISTIAN SERVICES | 901 Eastern Ave Ne, Po Box 294, Grand Rapids, MI 49501-0294 |
| Colorado Business Entities | BETHANY CHRISTIAN SERVICES | 901 Eastern Ave Ne, Grand Rapids, MI 49503 |
| Massachusetts Corporations | BETHANY CHRISTIAN SERVICES | Po Box 294, 901 Eastern, Grand Rapids, MI 49501 |
| System for Award Management (SAM) Entities | BETHANY CHRISTIAN SERVICES GLOBAL, LLC | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 |
| System for Award Management (SAM) Entities | BETHANY CHRISTIAN SERVICES OF ARKANSAS | 1100 N University Ave Ste 66, Little Rock, AR 72207-6300 |
| System for Award Management (SAM) Entities | BETHANY CHRISTIAN SERVICES OF CENTRAL PENNSYLVANIA | 1681 Crown Ave Ste 201, Lancaster, PA 17601-6303 |
| System for Award Management (SAM) Entities | BETHANY CHRISTIAN SERVICES OF COLORADO | 2821 S Parker Rd Ste 425, Aurora, CO 80014-2710 |
| Colorado Business Entities | BETHANY CHRISTIAN SERVICES OF COLORADO | 901 Eastern Ave Ne, Grand Rapids, MI 49503 |
| System for Award Management (SAM) Entities | BETHANY CHRISTIAN SERVICES OF EASTERN SOUTH DAKOTA | 400 S Sycamore Ave Ste 103-1, Sioux Falls, SD 57110-1255 |
| Street Address |
6995 W 48TH ST |
| City | FREMONT |
| State | MI |
| Zip Code | 49412-9506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940472 | Leslie A Anderson | Counselor | 6995 W 48th St, Fremont, MI 49412-9506 | 2020-10-20 |
| 1053641332 | Anna Girgenti | Counselor | 6995 W 48th St, Fremont, MI 49412-9506 | 2010-01-08 |
| 1881897684 | Devon Jolene Raap | Social Worker | 6995 W 48th St, Fremont, MI 49412-9506 | 2007-06-08 |
| 1205952009 | David Gerald Raquet | Psychologist | 6995 W 48th St, Fremont, MI 49412-9506 | 2007-03-22 |
| 1114043908 | Mark Edward Muilenburg | Social Worker | 6995 W 48th St, Fremont, MI 49412-9506 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437632437 | Claire Marie J Derks | Massage Therapist | 119 North Stone Road, Fremont, MI 49412 | 2018-09-14 |
| 1730565946 | Retirement Living Management of Fremont, L.L.C. | Assisted Living Facility | 801 E. Main Street, Fremont, MI 49412 | 2015-08-11 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1871864090 | Cheryl Lee Kublin | Specialist | 4554 W. 48th St, Fremont, MI 49412 | 2012-01-19 |
| 1326319583 | Colleen M Rice | Occupational Therapist | 4554 W. 48th Street, Fremont, MI 49412 | 2012-01-19 |
| 1154578847 | Greenlund Enterprises, Inc | Hearing Aid Equipment | 28 Wet Sheridan Street, Fremont, MI 49412 | 2008-08-25 |
| 1225170699 | Raymond Prins IIi | Dentist | 855 N Darling, Fremont, MI 49412 | 2007-02-13 |
| 1508933789 | Charles Merle Erickson | Dentist | 16 W Sheridan, Fremont, MI 49412 | 2006-11-30 |
| 1588741300 | Christopher Callis Niquette | Dentist | 327 Apache Dr, Fremont, MI 49412 | 2006-11-01 |
| 1417041179 | Newaygo County Resa | Local Education Agency (LEA) | 4747 W. 48th Street, Fremont, MI 49412 | 2006-10-03 |
| Find all providers in zip 49412 | ||||
| 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 |
|---|---|---|---|---|
| 1578125076 | The Alliance for Community Wellness | Community/Behavioral Health | 39155 Liberty St Ste F600, Fremont, CA 94538-1513 | 2019-07-03 |
| 1346785722 | Full Potential. Inc | Community/Behavioral Health | 700 W Toledo St, P.o 187, Fremont, IN 46737-7606 | 2016-12-21 |
| 1386195337 | City of Fremont Youth and Family Services | Community/Behavioral Health | 37141 2nd St, Fremont, CA 94536-2835 | 2016-10-14 |
| 1487108205 | Abode Services | Community/Behavioral Health | 4075 Papazian Way Ste 102, Fremont, CA 94538-4380 | 2016-08-10 |
| 1114386414 | Carnales Unidos Reformando Adictos | Community/Behavioral Health | 37471 Glenmoor Dr, Fremont, CA 94536-5731 | 2016-02-15 |
| 1295104818 | Carnales Unidos Reformando Adictos | Community/Behavioral Health | 37469 Glenmoor Dr, 37471 Glenmoor Drive, Fremont, CA 94536-5731 | 2015-09-24 |
| 1801277223 | City of Fremont | Community/Behavioral Health | 41717 Palm Ave, Fremont, CA 94539-4722 | 2015-06-11 |
| 1558742973 | City of Fremont | Community/Behavioral Health | 37944 Farwell Dr, Fremont, CA 94536-7008 | 2015-06-11 |
| 1194106518 | City of Fremont | Community/Behavioral Health | 41365 Chapel Way, Fremont, CA 94538-4202 | 2015-06-11 |
| 1023499449 | City of Fremont | Community/Behavioral Health | 41399 Chapel Way, Fremont, CA 94538-4202 | 2015-06-11 |
| Find all providers in FREMONT | ||||
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| 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.