BETHEL CENTER, LLC (NPI# 1467447540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467447540 |
| Entity Type | Organization |
| Organization Name | BETHEL CENTER, LLC |
| Practice Address |
8014 Bethel Rd Arpin WI 54410-9558 |
| Mailing Address |
121 S Water Ave Gallatin TN 37066-2902 |
| Practice Telephone | 7156522103 |
| Practice Fax Number | 8592815150 |
| Mailing Telephone | 6159897881 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2018-03-04 |
| Authorized Official Name | DOUGLASS B. SMITH (PRESIDENT AND DIRECTOR) |
| Authorized Official Telephone | 6156479004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 3079 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20191600 | 05 |
| Street Address |
8014 BETHEL RD |
| City | ARPIN |
| State | WI |
| Zip Code | 54410-9558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134523475 | Brad Pralle | Physical Therapy Assistant | 8014 Bethel Rd, Arpin, WI 54410-9558 | 2014-10-15 |
| 1013321025 | Helena Anne Collins-price | Speech-Language Pathologist | 8014 Bethel Rd, Arpin, WI 54410-9558 | 2014-06-17 |
| 1396159612 | James M Mcmahon | Speech-Language Pathologist | 8014 Bethel Rd, Arpin, WI 54410-9558 | 2014-06-13 |
| 1568778025 | Cynthia Kuka | Speech-Language Pathologist | 8014 Bethel Rd, Arpin, WI 54410-9558 | 2010-08-23 |
| 1598902926 | Valerie Rude | Occupational Therapist | 8014 Bethel Rd, Arpin, WI 54410-9558 | 2009-01-07 |
| 1740436740 | Eliza Evangeline Decker | Speech-Language Pathologist | 8014 Bethel Rd, Arpin, WI 54410-9558 | 2008-08-11 |
| 1982828208 | Rebecca Gae Tamason | Occupational Therapist | 8014 Bethel Rd, Arpin, WI 54410-9558 | 2007-04-11 |
| 1073736179 | Doreen Gail Lowry | Physical Therapist | 8014 Bethel Rd, Arpin, WI 54410-9558 | 2007-04-10 |
| 1063635084 | Amy J Donovan | Occupational Therapy Assistant | 8014 Bethel Rd, Arpin, WI 54410-9558 | 2007-04-10 |
| 1659594612 | Tara Jane Weiler | Occupational Therapy Assistant | 8014 Bethel Rd, Arpin, WI 54410-9558 | 2007-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336314129 | Patty Gapen | Occupational Therapy Assistant | Bethel Center 18014 Bethel Rd, Arpin, WI 54410 | 2008-04-23 |
| 1992043210 | Colleen Therese Wallace | Skilled Nursing Facility | 9286 Arpin Richfield Rd, Arpin, WI 54410-9514 | 2013-01-21 |
| 1093252819 | Sarah Holbrook | Registered Nurse | 7989 Arpin Richfield Rd, Arpin, WI 54410-9520 | 2017-01-31 |
| 1083080352 | Sarina Kyle | Specialist/Technologist | 8774 County Rd N, Arpin, WI 54410-9715 | 2015-08-20 |
| 1427510486 | Marie Helen Walsh | Registered Nurse | 9169 North Rd, Arpin, WI 54410-9729 | 2019-04-01 |
| 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 |
|---|---|---|---|---|
| 1992043210 | Colleen Therese Wallace | Skilled Nursing Facility | 9286 Arpin Richfield Rd, Arpin, WI 54410-9514 | 2013-01-21 |
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| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
| 1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
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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.