BETHANY LUTHERAN HOME FOR THE AGED INC. (NPI# 1316277536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316277536 |
| Entity Type | Organization |
| Organization Name | BETHANY LUTHERAN HOME FOR THE AGED INC. |
| Other Organization Name | BETHANY MEADOWS |
| Practice Address |
3008 Aspen Blvd Brandon SD 57005-2202 |
| Practice Telephone | 6055828622 |
| Practice Fax Number | 6055828634 |
| Mailing Telephone | 6055828622 |
| Mailing Fax Number | 6055828634 |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |
| Authorized Official Name | MR. DENNIS FRED SEVER (CEO) |
| Authorized Official Telephone | 6053382351 |
| Is Organization Subpart | Y |
| Parent Organization Name | BETHANY LUTHERAN HOME FOR THE AGED INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 48222 | SD | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Bethany Meadows | Doing Business As Name - Organization |
| Street Address |
3008 ASPEN BLVD |
| City | BRANDON |
| State | SD |
| Zip Code | 57005-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794926 | Sarah Hewitt | Counselor | 316 E Holly Blvd, Brandon, SD 57005 | 2019-01-15 |
| 1790175388 | Cody Lee Kruckenberg | Chiropractor | 312 E Holly Blvd, Brandon, SD 57005 | 2015-02-03 |
| 1356577159 | Matthew Krivarchka | Dentist | 1511 W. Holly Boulevard, Brandon, SD 57005 | 2009-06-08 |
| 1851546253 | Karla Karrin Jorgenson | Occupational Therapist | 103 North Splitrock Blvd, Brandon, SD 57005 | 2008-11-26 |
| 1598954364 | David Fitzgerald Ward Dc | Chiropractor | 1302 E Rushmore, Brandon, SD 57005 | 2007-10-17 |
| 1477675437 | Kara Lynn Baas | Counselor | 1320 E Rushmore Drive, Suite 107, Brandon, SD 57005 | 2007-04-03 |
| 1124161773 | Michael R Juba | Dentist | 704 N Splitrock Blvd, Brandon, SD 57005 | 2007-02-14 |
| 1548334246 | Med Star Paramedic Inc | Non-emergency Medical Transport (VAN) | 922 E Redwood Blvd, Brandon, SD 57005 | 2006-11-17 |
| 1386723468 | Prairie Rehabilitation Services, Inc. | Durable Medical Equipment & Medical Supplies | 1220 E. Holly Blvd, Brandon, SD 57005 | 2006-11-02 |
| 1396780698 | Barbara Harvison | Physician Assistant | 1101 E Holly Blvd, Brandon, SD 57005 | 2006-06-19 |
| Find all providers in zip 57005 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104318435 | Park View of Brandon LLC | Assisted Living Facility | 1502 Bryan Rd, Brandon, FL 33511-6835 | 2018-06-01 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1700395613 | Senior Living Properties Iv, LLC | Assisted Living Facility | 824 N Parsons Ave, Brandon, FL 33510-3435 | 2017-09-22 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1013432723 | Brisas Del Caribe Alf | Assisted Living Facility | 2203 Shermont Place, Brandon, FL 33511 | 2017-08-03 |
| 1396269049 | Milagros Carreno | Assisted Living Facility | 2203 Shermont Pl, Brandon, FL 33511-6935 | 2017-08-02 |
| 1003364183 | Living Well Senior Care | Assisted Living Facility | 2006 Wrangler Dr, Brandon, FL 33511-2121 | 2016-09-16 |
| 1497202576 | Brandon Bg Opco LLC | Assisted Living Facility | 700 S Kings Ave, Brandon, FL 33511-5925 | 2016-09-06 |
| 1699143354 | Whispering Willows, Alf | Assisted Living Facility | 3005 Bell Shoals Rd, Brandon, FL 33511-7613 | 2015-09-10 |
| 1942693395 | Ava Cares LLC | Assisted Living Facility | 616 Valle Vista Dr, Brandon, FL 33511-7830 | 2015-03-10 |
| Find all providers in BRANDON | ||||
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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.