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BETHSHAN ASSOCIATION
NPI 1790822815
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Palos Heights, IL

Active since January 30, 2007
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.

About Bethshan Association NPPES

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

BETHSHAN ASSOCIATION (NPI 1790822815) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Palos Heights, 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

NPI1790822815
Entity TypeOrganization
Primary Taxonomy320900000X
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 1790822815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in IL · 91C024
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
12927 S MONITOR AVE, Palos Heights, IL 60463
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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
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 1790822815. It was assigned to this organization in the NPPES registry on January 30, 2007.

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 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

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.