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BETHESDA GARDENS
NPI 1689715351
Assisted Living Facility in Fort Worth, TX

Active since February 08, 2007CLIA Certified · 2 labs
5417 ALTAMESA BLVD, FORT WORTH, TX 76123(817) 292-8886(817) 292-3128 Get Directions Write a Review

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

About Bethesda Gardens NPPES

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

BETHESDA GARDENS (NPI 1689715351) is a healthcare organization registered as an assisted living facility in Fort Worth, Texas and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Julie Callender, Sr. Vice Pesident, as its authorized official.

NPPES Registry Identity

NPI1689715351
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBETHESDA FOUNDATION
Location Address5417 ALTAMESA BLVDFort Worth, TX 76123-2804
Mailing Address5417 Altamesa BlvdFort Worth, TX 76123-2804 · (817) 292-8886 · Fax (817) 292-3128
Phone(817) 292-8886
Fax(817) 292-3128
Organization SubpartNo
Authorized OfficialJulie CallenderSr. Vice Pesident · (719) 481-5481
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689715351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in TX · 116869
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.
5417 ALTAMESA BLVD, Fort Worth, TX 76123
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Other Names 1

Other NameBethesda Gardens

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 45D2233193

Bethesda Gardens Fort Worth Assisted Living · Fort Worth, TX
Active · expires Aug 19, 2027
CLIA Number45D2233193
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorElizabeth L. Walter
Laboratory Phone(817) 292-8886
Laboratory LocationBethesda Gardens Fort Worth Assisted Living5417 Altamesa Blvd, Fort Worth, TX 76123
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2301327

Bethesda Gardens Memory Care · Fort Worth, TX
Active · expires Mar 24, 2028
CLIA Number45D2301327
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorSusie Gurule
Laboratory Phone(817) 292-8886
Laboratory LocationBethesda Gardens Memory Care5349 Altamesa Blvd, Fort Worth, TX 76123
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

LORI HUMPHREY HASELOFF MOTR/L
Occupational Therapist
5417 ALTAMESA BLVD
FORT WORTH, TX 76123
Tarrant County (817) 370-6222
PATRICIA M SAMMONS COTA
Occupational Therapy Assistant
5417 ALTAMESA BLVD
FORT WORTH, TX 76123
Tarrant County (817) 292-8886
MRS. JENNIFER JANE ZOLL MSPT
Physical Therapist
5417 ALTAMESA BLVD
FORT WORTH, TX 76123
Tarrant County (817) 292-2886
KILEY BEARD
Physical Therapy Assistant
5417 ALTAMESA BLVD
FORT WORTH, TX 76123
Tarrant County (817) 292-8886
MRS. ROSA ANDERSON PTA
Physical Therapy Assistant
5417 ALTAMESA BLVD
FORT WORTH, TX 76123
Tarrant County (817) 370-6222
MRS. STEPHANIE KATHLEEN BERGMANN OTR/L
Occupational Therapist
5417 ALTAMESA BLVD
FORT WORTH, TX 76123
Tarrant County (817) 797-7898
MIREYA HERNANDEZ CHADWICK M.S., CCC-SLP
Speech-Language Pathologist
5417 ALTAMESA BLVD
FORT WORTH, TX 76123
Tarrant County (817) 292-8886
MEGAN S SMITH COTA
Occupational Therapy Assistant
5417 ALTAMESA BLVD
FORT WORTH, TX 76123
Tarrant County (817) 370-6222

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 Bethesda Foundation's NPI number?

The NPI number for Bethesda Foundation is 1689715351. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is also known as Bethesda Gardens.

Where is Bethesda Foundation located?

Bethesda Foundation is located at 5417 Altamesa Blvd, Fort Worth, TX 76123. The listed phone number is (817) 292-8886.

What is Bethesda Foundation's specialty?

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

Does Bethesda Foundation 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 Bethesda Foundation 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.