BETHANY BOARD AND LODGE, INC
NPI 1669942298
Assisted Living Facility in Mcintosh, MN

Q: What is Bethany Board And Lodge, Inc's NPI number?

The NPI number for Bethany Board And Lodge, Inc is 1669942298. It was assigned to this organization in the NPPES registry on November 27, 2018. The provider is doing business as Riverside Customized Living.

Q: What is Bethany Board And Lodge, Inc's specialty?

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

Active since November 27, 2018

240 1ST ST NE, MCINTOSH, MN 56556(218) 435-1044(218) 435-1143 Get Directions Write a Review

NPPES record last updated: November 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bethany Board And Lodge, Inc NPPES

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

BETHANY BOARD AND LODGE, INC (NPI 1669942298), doing business as Riverside Customized Living, is a healthcare organization registered as an assisted living facility in Mcintosh, Minnesota and active in the NPI registry since November 2018. The organization lists Tyler Mcglynn, President, as its authorized official.

NPPES Registry Identity

NPI1669942298

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBETHANY BOARD AND LODGE, INC

Location Address240 1ST ST NEMcintosh, MN 56556

Mailing AddressPo Box 28Fosston, MN 56542 · (218) 435-1044 · Fax (218) 435-1143

Phone(218) 435-1044

Fax(218) 435-1143

Organization SubpartNo

Authorized OfficialTyler McglynnPresident · (218) 280-1609

Enumeration DateNovember 27, 2018

✔ NPI 1669942298 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.

240 1ST ST NE, Mcintosh, MN 56556

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Other Names 1

Doing Business AsRiverside Customized Living

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 Bethany Board And Lodge, Inc's NPI number?

The NPI number for Bethany Board And Lodge, Inc is 1669942298. It was assigned to this organization in the NPPES registry on November 27, 2018. The provider is doing business as Riverside Customized Living.

Where is Bethany Board And Lodge, Inc located?

Bethany Board And Lodge, Inc is located at 240 1st St NE, Mcintosh, MN 56556. The listed phone number is (218) 435-1044.

What is Bethany Board And Lodge, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Bethany Board And Lodge, Inc was last updated on November 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.