Provider Demographics
NPI:1023430071
Name:BETHEL MANAGEMENT GROUP INC.
Entity type:Organization
Organization Name:BETHEL MANAGEMENT GROUP INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BOAKYE-DANQUAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-423-0659
Mailing Address - Street 1:5901 BROOKLYN BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-2532
Mailing Address - Country:US
Mailing Address - Phone:763-746-8566
Mailing Address - Fax:763-537-1688
Practice Address - Street 1:5901 BROOKLYN BLVD STE 107
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-2532
Practice Address - Country:US
Practice Address - Phone:763-746-8566
Practice Address - Fax:763-537-1688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN365299372600000X, 3747A0650X, 3747P1801X, 374U00000X, 376J00000X, 376K00000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty