BETHSHAN ASSOCIATION II
NPI 1164569281
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Palos Heights, IL

Q: What is Bethshan Association's NPI number?

The NPI number for Bethshan Association is 1164569281. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Bethshan Association II.

Q: What is Bethshan Association's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since January 30, 2007CLIA 14D1036757 · Waiver

12927 S MONITOR AVE, PALOS HEIGHTS, IL 60463(708) 371-0800(708) 371-0833 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bethshan Association Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHSHAN ASSOCIATION II (NPI 1164569281) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Palos Heights, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Steven J Goudzwaard, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1164569281

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameBETHSHAN ASSOCIATION

Location Address12927 S MONITOR AVEPalos Heights, IL 60463-2434

Mailing Address12927 S Monitor AvePalos Heights, IL 60463-2434 · (708) 371-0800 · Fax (708) 371-0833

Phone(708) 371-0800

Fax(708) 371-0833

Organization SubpartNo

Authorized OfficialSteven J GoudzwaardDirector Of Finance · (708) 371-0800

Enumeration DateJanuary 30, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1164569281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in IL · 0030528

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

12927 S MONITOR AVE, Palos Heights, IL 60463

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Other Names 1

Doing Business AsBethshan Association Ii

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1036757

Bethshan Association · Palos Heights, IL

Active · expires Feb 8, 2027

CLIA Number14D1036757

Laboratory TypeOther

Certificate Effective DateFebruary 9, 2025

Certificate Expiration DateFebruary 8, 2027

Laboratory DirectorChristine Konior Rn

Laboratory Phone(708) 371-0800

Laboratory LocationBethshan Association12927 S Monitor, Palos Heights, IL 60463

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHSHAN ASSOCIATION

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

12927 S MONITOR AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 371-0800

BETHSHAN ASSOCIATION

Intermediate Care Facility, Intellectual Disabilities

12927 S MONITOR AVE
PALOS HEIGHTS, IL 60463

Cook County (708) 371-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethshan Association's NPI number?

The NPI number for Bethshan Association is 1164569281. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Bethshan Association II.

Where is Bethshan Association located?

Bethshan Association is located at 12927 S Monitor Ave, Palos Heights, IL 60463. The listed phone number is (708) 371-0800.

What is Bethshan Association's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Bethshan Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1036757) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bethshan Association was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.