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BASHOR HOME OF THE UNITED METHODIST CHURCH INC NPI 1336421270


NPI Information

NPI: 1336421270
Provider Name: BASHOR HOME OF THE UNITED METHODIST CHURCH, INC
Classification: Social Worker - 104100000X
Entity Type: Organization

CLIA Number: 15D2227095

Address:
62226 COUNTY ROAD 15
GOSHEN, IN
ZIP 46526
Phone: (574) 875-5117
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BASHOR HOME OF THE UNITED METHODIST CHURCH, INC is a social worker in Goshen, IN. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. BASHOR HOME OF THE UNITED METHODIST CHURCH, INC NPI is 1336421270. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

62226 COUNTY ROAD 15
GOSHEN, IN
ZIP 46526-438
Phone: (574) 875-5117
Fax: (574) 875-5284

The provider's authorized official is Donald Phillips .
The authorized official title is President/ceo and has the following contact phone number (574) 875-5117.

The CLIA number assigned to this NPI record is 15D2227095 - other - residential facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2011 and was last updated on 1/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.