BETHANY LUTHERAN HOME (NPI# 1003807280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003807280 |
| Entity Type | Organization |
| Organization Name | BETHANY LUTHERAN HOME |
| Practice Address |
7 Elliott St Council Bluffs IA 51503-0239 |
| Practice Telephone | 7123289500 |
| Practice Fax Number | 7123090190 |
| Mailing Telephone | 7123289500 |
| Mailing Fax Number | 7123090190 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL VAN SICKLE (ADMINISTRATOR) |
| Authorized Official Telephone | 7123289500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0800227 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912254459 | Bethany Lutheran Home | Skilled Nursing Facility | 3008 E Aspen Blvd, Brandon, SD 57005-2202 | 2012-08-14 |
| 1023063856 | Bethany Lutheran Home | Skilled Nursing Facility | 1901 S Holly Ave, Sioux Falls, SD 57105-2407 | 2006-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | BETHANY LUTHERAN HOME | 7 Elliott Street, Council Bluffs, IA 51503 |
| Street Address |
7 ELLIOTT ST |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-0239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922667864 | Alicia Lynn Jones | Physical Therapist | 7 Elliott St, Council Bluffs, IA 51503-0239 | 2019-06-12 |
| 1891263778 | Kelci Van Es | Occupational Therapist | 7 Elliott St, Council Bluffs, IA 51503-0297 | 2018-11-08 |
| 1376995621 | Amanda Askey | Physical Therapy Assistant | 7 Elliott St, Council Bluffs, IA 51503-0239 | 2016-07-11 |
| 1427407808 | Kayla R Paris | Physical Therapy Assistant | 7 Elliott St, Council Bluffs, IA 51503-0239 | 2016-06-07 |
| 1467896779 | Jamie Kretschmer | Physical Therapist | 7 Elliott St, Council Bluffs, IA 51503-0239 | 2013-04-18 |
| 1114202546 | Ronald Reales | Physical Therapist | 7 Elliott St, Council Bluffs, IA 51503-0239 | 2011-10-17 |
| 1770899106 | Jessie Lynn Derby | Speech-Language Pathologist | 7 Elliott St, Council Bluffs, IA 51503-0239 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1134149529 | Risen Son Christian Village | Skilled Nursing Facility | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2006-07-20 |
| 1750336806 | Five Star Quality Care Ia LLC | Skilled Nursing Facility | 34 Northcrest Dr, Council Bluffs, IA 51503-1622 | 2006-05-24 |
| 1275515405 | Signature Properties of Council Bluffs LLC | Skilled Nursing Facility | 1600 Mcpherson Ave, Council Bluffs, IA 51503-4858 | 2005-11-15 |
| 1780686220 | Midlands Living Center, L.l.p. | Skilled Nursing Facility | 2452 N Broadway, Council Bluffs, IA 51503-0434 | 2005-08-15 |
| 1578808598 | Indian Hills Healthcare, Inc. | Skilled Nursing Facility | 1600 Mcpherson Ave, Council Bluffs, IA 51503-4858 | 2012-12-03 |
| 1467703041 | Kindred | Skilled Nursing Facility | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2012-09-24 |
| 1629397211 | Council Bluffs Senior Care, LLC | Skilled Nursing Facility | 1600 Mcpherson Ave, Council Bluffs, IA 51503-4858 | 2010-05-22 |
| 1679703052 | Nlc Partners, L.L.C. | Skilled Nursing Facility | 34 Northcrest Dr, Council Bluffs, IA 51503-1622 | 2009-07-21 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.