BETHANY LUTHERAN HOME (NPI# 1023063856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023063856 |
| Entity Type | Organization |
| Organization Name | BETHANY LUTHERAN HOME |
| Other Organization Name | BETHANY HOME SIOUX FALLS |
| Practice Address |
1901 S Holly Ave Sioux Falls SD 57105-2407 |
| Practice Telephone | 6053382351 |
| Practice Fax Number | 6053380241 |
| Mailing Telephone | 6053382351 |
| Mailing Fax Number | 6053380241 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-09-18 |
| Authorized Official Name | MR. DENNIS FRED SEVER (ADMINISTRATOR) |
| Authorized Official Telephone | 6053382351 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 10677 | SD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0150010 | 05 | |
| BC & BS | 85096 | 01 |
| Other Name | Type Code |
|---|---|
| Bethany Home Sioux Falls | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912254459 | Bethany Lutheran Home | Skilled Nursing Facility | 3008 E Aspen Blvd, Brandon, SD 57005-2202 | 2012-08-14 |
| 1003807280 | Bethany Lutheran Home | Skilled Nursing Facility | 7 Elliott St, Council Bluffs, IA 51503-0239 | 2005-11-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | BETHANY LUTHERAN HOME | 7 Elliott Street, Council Bluffs, IA 51503 |
| Street Address |
1901 S HOLLY AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| 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 |
|---|---|---|---|---|
| 1619163581 | Aegis Therapies | Skilled Nursing Facility | 1908 S Dorothy Ave, Sioux Falls, SD 57106-3866 | 2007-09-24 |
| 1922196260 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 4800 W 57th St, Sioux Falls, SD 57117-5038 | 2006-10-11 |
| 1023069630 | Ggnsc Sioux Falls LLC | Skilled Nursing Facility | 3900 S Cathy Ave, Sioux Falls, SD 57106-1518 | 2006-05-16 |
| 1366430662 | Health Quest Inc | Skilled Nursing Facility | 3600 S Norton Ave, Sioux Falls, SD 57105-6331 | 2005-10-11 |
| 1700433703 | Norton Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 3600 S Norton Ave, Sioux Falls, SD 57105-6331 | 2019-08-23 |
| 1396301800 | Sioux Falls Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 3900 S Cathy Ave, Sioux Falls, SD 57106-1518 | 2019-05-10 |
| 1316481286 | Covington Care and Rehabilitation Center LLC | Skilled Nursing Facility | 3900 S Cathy Ave, Sioux Falls, SD 57106-1518 | 2016-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725841 | Lake Norden Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 803 Park Street, Lake Norden, SD 57248-0139 | 2019-05-13 |
| 1902462211 | Ipswich Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 617 Bloemendaal Drive, Ipswich, SD 57451 | 2019-05-13 |
| 1760047252 | Armour Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 106 Braddock Ave, Armour, SD 57313-2157 | 2019-05-09 |
| 1881112290 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 4825 Jericho Way, Rapid City, SD 57702-9694 | 2017-09-06 |
| 1568906386 | Lake Norden Care and Rehabilitation Center LLC | Skilled Nursing Facility | 803 Park St, Lake Norden, SD 57248 | 2016-12-13 |
| 1568835452 | Estelline Nursing and Care Center | Skilled Nursing Facility | 205 E Fjerestad Ave, Estelline, SD 57234-0130 | 2015-11-02 |
| 1740695675 | Northeast Care and Rehabilitation Center Inc | Skilled Nursing Facility | 85 S 1st Ave, Rosholt, SD 57260 | 2014-06-30 |
| 1912254459 | Bethany Lutheran Home | Skilled Nursing Facility | 3008 E Aspen Blvd, Brandon, SD 57005-2202 | 2012-08-14 |
| 1619249075 | Nicholle Marie Gilbertson | Skilled Nursing Facility | 123 Forest Ave, Vermillion, SD 57069-3107 | 2012-02-01 |
| 1841587227 | Edgewood Greenleaf Sisseton | Skilled Nursing Facility | 308 Hillview Rd., Sisseton, SD 57262-2300 | 2011-07-06 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.