OrganizationActive
Bethlehem House Residence, Inc
NPI 1962779389 · Substance Use Disorder Rehabilitation Clinic/Center · Indianapolis, IN
Provider details
- NPI number
- 1962779389
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nathan Rush, Executive Director(317) 920-1519
Specialties & taxonomies
Ambulatory Health Care Facilities
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Private Vehicle347C00000X
Transportation Services
Practice location
130 E 30th St
Indianapolis, IN 46205-3904
Phone: (317) 920-1519
Fax: (317) 920-1515
Approximate (ZIP-level) locationGet directions
Mailing address
130 E 30th St
Indianapolis, IN 46205-3904
Other names (DBA / former)
- Doing business as
- The Bethlehem Hosue
Registry dates
- Enumerated
- 2011-11-30
- Last updated
- 2011-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.