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BETHLEHEM
NPI 1205130184
Assisted Living Facility in Bethlehem, PA

Active since January 06, 2011CLIA Certified · 2 labs
1745 W MACADA RD, BETHLEHEM, PA 18017(610) 317-0700 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bethlehem NPPES

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

BETHLEHEM (NPI 1205130184) is a healthcare organization registered as an assisted living facility in Bethlehem, Pennsylvania and active in the NPI registry since January 2011. The organization holds 2 active CLIA laboratory certificates and lists Bryan Hudson, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1205130184
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameA2002 SENIOR, LLC
Location Address1745 W MACADA RDBethlehem, PA 18017-3575
Mailing Address1745 W Macada RdBethlehem, PA 18017-3575 · (610) 317-0700
Phone(610) 317-0700
Organization SubpartYes
Authorized OfficialBryan HudsonGeneral Counsel · (502) 779-7683
Enumeration DateJanuary 6, 2011
✔ NPI 1205130184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1745 W MACADA RD, Bethlehem, PA 18017
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Other Names 1

Doing Business AsBethlehem

CLIA Laboratory Certificates CMS CLIA 2

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 39D2308031

Bethlehem N Skilled Nursing & Rehab · Bethlehem, PA
Active · expires Jul 18, 2028
CLIA Number39D2308031
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorDr. Paige E. Van Wirt
Laboratory Phone(610) 861-0100
Laboratory LocationBethlehem N Skilled Nursing & Rehab2029 Westgate Drive, Bethlehem, PA 18017
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D0682584

Bethlehem Skld Nursing&rehab Ctr · Bethlehem, PA
Active · expires Aug 31, 2026
CLIA Number39D0682584
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSean Heffelfinger MD
Laboratory Phone(610) 865-6077
Laboratory LocationBethlehem Skld Nursing&rehab Ctr2021 Westgate Drive, Bethlehem, PA 18017
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 A2002 Senior, LLC's NPI number?

The NPI number for A2002 Senior, LLC is 1205130184. It was assigned to this organization in the NPPES registry on January 6, 2011. The provider is doing business as Bethlehem.

Where is A2002 Senior, LLC located?

A2002 Senior, LLC is located at 1745 W Macada Rd, Bethlehem, PA 18017. The listed phone number is (610) 317-0700.

What is A2002 Senior, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does A2002 Senior, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for A2002 Senior, LLC was last updated on January 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.