BETHANY LUTHERAN HOME (NPI# 1912254459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912254459 |
| Entity Type | Organization |
| Organization Name | BETHANY LUTHERAN HOME |
| Practice Address |
3008 E Aspen Blvd Brandon SD 57005-2202 |
| Mailing Address |
3012 E Aspen Blvd Brandon SD 57005-2202 |
| Practice Telephone | 6055828622 |
| Practice Fax Number | 6055828634 |
| Mailing Telephone | 6055828622 |
| Mailing Fax Number | 6055828634 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | MR. DENNIS F SEVER (CEO, ADMINISTRATOR) |
| Authorized Official Telephone | 6055828622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023063856 | Bethany Lutheran Home | Skilled Nursing Facility | 1901 S Holly Ave, Sioux Falls, SD 57105-2407 | 2006-05-23 |
| 1003807280 | Bethany Lutheran Home | Skilled Nursing Facility | 7 Elliott St, Council Bluffs, IA 51503-0239 | 2005-11-04 |
| Street Address |
3008 E ASPEN BLVD |
| City | BRANDON |
| State | SD |
| Zip Code | 57005-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306309521 | Isabel Nelson | Occupational Therapy Assistant | 3008 E Aspen Blvd, Brandon, SD 57005-2202 | 2019-04-14 |
| 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 | 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 |
|---|---|---|---|---|
| 1952711608 | Genesis Health Care | Skilled Nursing Facility | 924 Delaney Cir Apt 102, Brandon, FL 33511-1943 | 2014-05-03 |
| 1669546776 | Brandon Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 355 Crossgates Blvd, Brandon, MS 39042-2602 | 2006-11-20 |
| 1609816057 | Op Brandon, Inc. | Skilled Nursing Facility | 701 Victoria St, Brandon, FL 33510-4100 | 2006-06-07 |
| 1578518551 | Central Park Health Care Associates LLC | Skilled Nursing Facility | 702 S Kings Ave, Brandon, FL 33511-5925 | 2006-05-24 |
| 1043265416 | Brandon Health Care Associates LLC | Skilled Nursing Facility | 1465 Oakfield Dr, Brandon, FL 33511-4854 | 2006-05-24 |
| 1366490542 | Rankin Community Care Center LLC | Skilled Nursing Facility | 100 Burnham Rd, Brandon, MS 39042-2534 | 2006-05-04 |
| 1801890272 | Florida Living Options Inc. | Skilled Nursing Facility | 851 W Lumsden Rd, Brandon, FL 33511-6280 | 2005-06-13 |
| 1720575004 | Brandon Plaza Facility LLC | Skilled Nursing Facility | 851 W Lumsden Rd, Brandon, FL 33511-6280 | 2018-04-22 |
| 1982076667 | Deborah Sheridan Mcvey | Skilled Nursing Facility | 702 S Kings Ave, Brandon, FL 33511-5925 | 2015-10-21 |
| 1528479573 | Mary Buchanan | Skilled Nursing Facility | 701 Victoria St, Brandon, FL 33510-4100 | 2014-05-13 |
| 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.