TIBSTRA HOUSE
NPI 1689710121
Intermediate Care Facility, Intellectual Disabilities in South Holland, IL

Active since January 30, 2007
271 E 161ST ST, SOUTH HOLLAND, IL 60473(708) 596-4442(708) 596-4486 Get Directions Write a Review

NPPES record last updated: August 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tibstra House NPPES

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

TIBSTRA HOUSE (NPI 1689710121) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in South Holland, Illinois and active in the NPI registry since January 2007. The organization lists Steven J Goudzwaard, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1689710121
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameBETHSHAN ASSOCIATION
Location Address271 E 161ST STSouth Holland, IL 60473-1400
Mailing Address12927 S Monitor AvePalos Heights, IL 60463-2434 · (708) 371-0800 · Fax (708) 371-0833
Fax(708) 596-4486
Organization SubpartNo
Authorized OfficialSteven J GoudzwaardDirector Of Finance · (708) 371-0800
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 15, 2016
NPI 1689710121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in IL · 0035196
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
271 E 161ST ST, South Holland, IL 60473

Other Names 1

Doing Business AsTibstra House

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 1689710121. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Tibstra House.

Where is Bethshan Association located?

Bethshan Association is located at 271 E 161st St, South Holland, IL 60473. The listed phone number is (708) 596-4442.

What is Bethshan Association's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Bethshan Association was last updated on August 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.