Healthcare Provider Details

I. General information

NPI: 1598604225
Provider Name (Legal Business Name): BETHEL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5309 CAROLINE DR
HIGH RIDGE MO
63049-2481
US

IV. Provider business mailing address

16515 WESTGLEN FARMS DR
WILDWOOD MO
63011-1858
US

V. Phone/Fax

Practice location:
  • Phone: 314-680-7689
  • Fax:
Mailing address:
  • Phone: 314-680-7689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NORMAN NJIHI
Title or Position: MANAGER
Credential: DNP, FNP-C
Phone: 314-680-7689