BETHANY TOWERS BASIC CARE (NPI# 1740418920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740418920 |
| Entity Type | Organization |
| Organization Name | BETHANY TOWERS BASIC CARE |
| Practice Address |
201 University Dr S Fargo ND 58103-1775 |
| Practice Telephone | 7012393000 |
| Practice Fax Number | 7012393237 |
| Mailing Telephone | 7012393000 |
| Mailing Fax Number | 7012393237 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |
| Authorized Official Name | MR. SHAWN STUHAUG (PRESIDENT/CEO) |
| Authorized Official Telephone | 7012393523 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 30781 | 05 |
| Street Address |
201 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925120 | American Lutheran Homes Inc | Clinic/Center | 201 University Dr S, Fargo, ND 58103-1775 | 2005-07-13 |
| 1063052751 | Danielle Imhof | Physical Therapist | 201 University Dr S, Fargo, ND 58103-1775 | 2020-01-09 |
| 1184264293 | Kimberly Jo Klayson | Physical Therapy Assistant | 201 University Dr S, Fargo, ND 58103-1775 | 2020-01-07 |
| 1013370246 | Kayla Brottlund | Occupational Therapist | 201 University Dr S, Fargo, ND 58103-1775 | 2016-04-04 |
| 1619361235 | Jessica Stenehjem | Physical Therapist | 201 University Dr S, Fargo, ND 58103-1775 | 2015-03-20 |
| 1922492644 | Carolyn Krum | Occupational Therapist | 201 University Dr S, Fargo, ND 58103-1775 | 2015-03-19 |
| 1134523004 | American Lutheran Homes Inc | Clinic/Center | 201 University Dr S, Fargo, ND 58103-1775 | 2014-10-21 |
| 1972922268 | Jill Thomson | Occupational Therapy Assistant | 201 University Dr S, Fargo, ND 58103-1775 | 2014-04-15 |
| 1386063683 | Chelsey Lee Edwards | Occupational Therapist | 201 University Dr S, Fargo, ND 58103-1775 | 2014-04-15 |
| 1043451123 | Bethany On 42nd | Skilled Nursing Facility | 201 University Dr S, Fargo, ND 58103-1775 | 2009-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962673608 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 4502 37th Ave S, Fargo, ND 58104-7599 | 2008-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548803265 | The Baptist Apartments Inc Dba Prairie Pointe | Custodial Care Facility | 3330 Nebraska Dr, Bismarck, ND 58503-1663 | 2019-10-25 |
| 1295142784 | Dakota Hill Housing Corporation | Custodial Care Facility | 606 Dakota St N, Elgin, ND 58533-7157 | 2014-07-16 |
| 1518373224 | St. Anne's Guest Home | Custodial Care Facility | 524 N 17th St, Grand Forks, ND 58203-3085 | 2014-07-02 |
| 1588079156 | The Odd Fellows and Rebekah Home of North Dakota Inc. | Custodial Care Facility | 1107 Walnut St E, Devils Lake, ND 58301-3240 | 2014-06-23 |
| 1578998753 | Borg Pioneer Memorial Home | Custodial Care Facility | 61 Borg Dr, Mountain, ND 58262-6201 | 2013-09-06 |
| 1487929089 | The Leach Home | Custodial Care Facility | 714 4th St N, Wahpeton, ND 58075-3939 | 2012-03-14 |
| 1689942609 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 1332 10th St Ne, Devils Lake, ND 58301-2329 | 2011-12-05 |
| 1134437932 | Golden Manor Inc | Custodial Care Facility | 214 4th Street Nw, Steele, ND 58482-7317 | 2010-09-15 |
| 1831420348 | Sanford-good Samaritan Community Health Services, LLC | Custodial Care Facility | 316 Versailles Ave, Bismarck, ND 58503-0390 | 2010-01-22 |
| 1316143175 | Evergreen Dickinson, LLC | Custodial Care Facility | 2143 6th Ave W, Dickinson, ND 58601-2700 | 2007-06-26 |
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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.