BETHESDA HOME (NPI# 1356348809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356348809 |
| Entity Type | Organization |
| Organization Name | BETHESDA HOME |
| Practice Address |
129 W Highway 12 Webster SD 57274-1000 |
| Practice Telephone | 6053453331 |
| Practice Fax Number | 6053453325 |
| Mailing Telephone | 6053453331 |
| Mailing Fax Number | 6053453325 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2010-03-11 |
| Authorized Official Name | DAVID A ROGERS (ADMINISTRATOR) |
| Authorized Official Telephone | 6053453331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 10706 | SD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | WELLMARK BCBS | 85071 | 01 |
| SD | 0150280 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Bethesda Home Care LLC | 1121 University Blvd.w. Apt. 1019, Silver Spring, Virginia 20902 |
| Street Address |
129 W HIGHWAY 12 |
| City | WEBSTER |
| State | SD |
| Zip Code | 57274-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790971042 | Webster School District | Local Education Agency (LEA) | 102 E 9th Ave, Webster, SD 57274 | 2007-09-20 |
| 1033113519 | Lola M Pollard | Physician Assistant | 101 Peabody Dr, Webster, SD 57274 | 2005-06-13 |
| 1619087236 | Rob D Krege | Chiropractor | 610 Main St, Webster, SD 57274 | 2006-08-30 |
| 1760738892 | Jennifer Grace Nelson | Physical Therapist | 1290 North Main St, Suite 3, Webster, SD 57274-0577 | 2012-07-26 |
| 1144773672 | Randal James Breske | Occupational Therapy Assistant | 1401 W 1st St, Webster, SD 57274-1054 | 2016-08-02 |
| 1427486174 | Kyle Hubsch | Physical Therapist | 1401 W 1st St, Webster, SD 57274-1054 | 2013-10-16 |
| 1013246388 | Janet A Holm | Speech-Language Pathologist | 1401 W 1st St, Webster, SD 57274-1054 | 2009-12-16 |
| 1588803167 | Melissa Jean Grewe | Occupational Therapist | 1401 W 1st St, Webster, SD 57274-1054 | 2009-02-05 |
| 1063651628 | David Leroy Wyman | Physical Therapist | 1401 W 1st St, Webster, SD 57274-1054 | 2009-02-05 |
| 1346433349 | Sanford Health Network | General Acute Care Hospital | 1401 W 1st St, Webster, SD 57274-1054 | 2007-08-22 |
| Find all providers in zip 57274 | ||||
| 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 |
|---|---|---|---|---|
| 1740216050 | St. Ann's Nursing Home Co, Inc | Skilled Nursing Facility | 920 Cherry Ridge Blvd, Webster, NY 14580-4801 | 2006-06-26 |
| 1114963162 | Manor Care of Webster Tx LLC | Skilled Nursing Facility | 750 West Texas Avenue, Webster, TX 77598 | 2006-06-20 |
| 1972545424 | Phcc-the Pointe Rehabilitation and Health Care Center, LLC | Skilled Nursing Facility | 17231 Mill Forest Rd, Webster, TX 77598-4308 | 2006-06-11 |
| 1235100058 | Penbar Inc | Skilled Nursing Facility | 409 West Green St, Webster, TX 77598-6701 | 2006-01-30 |
| 1497742563 | Central Mass Health Systems | Skilled Nursing Facility | 745 School St, Webster, MA 01570-2924 | 2005-10-04 |
| 1184611261 | Central Mass Health Systems | Skilled Nursing Facility | 751 School St, Webster, MA 01570-2924 | 2005-10-04 |
| 1043207178 | Colonial Health Group- Tcu, LLC | Skilled Nursing Facility | 340 Thompson Rd, Webster, MA 01570-1509 | 2005-10-04 |
| 1982165734 | Fpacp Webster LLC | Skilled Nursing Facility | 17231 Mill Forest Rd, Webster, TX 77598-4308 | 2019-03-26 |
| 1689178139 | Moc Webster LLC | Skilled Nursing Facility | 16130 Galveston Road, Webster, TX 77598 | 2018-03-20 |
| 1023535929 | Crystal Rehab & Nursing LLC | Skilled Nursing Facility | 11 Pontiac Ave, Webster, MA 01570-1629 | 2017-08-23 |
| Find all providers in WEBSTER | ||||
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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.