Bethesda Faith Village

LBN: Bethesda Lutheran Communities
Bethesda Faith Village is an health care organization with primary practice located at 14150 W 113Th St , Shawnee Mission KS 66215-4819. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness is the primary health care specialty. Bethesda Lutheran Communities can be contacted via phone (913) 906-5009, or through Kaczmarski, Jeffrey A. via phone (920) 206-4406.

Contact Information

Primary practice address
14150 W 113Th St Shawnee Mission KS 66215-4819
Phone: (913) 906-5009
Fax: (913) 469-4028
Website:
Map and Directions
Authorized official contact:
Name: Kaczmarski, Jeffrey A.
Phone: (920) 206-4406

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 0841302101 Kansas
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 1141302101 Kansas
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Kansas

Profile Details

NPI number 1265587356
LBN Legal business name Bethesda Lutheran Communities
DBA Doing business as Bethesda Faith Village
Authorized official Kaczmarski, Jeffrey A.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated May 11th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265587356 NPPES
Kansas MEDICAID 100108390B
Kansas MEDICAID 100108390D
Kansas MEDICAID 100045140K
Kansas MEDICAID 100045140D
Kansas MEDICAID 100045140E
Kansas MEDICAID 100108390C

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