BETHANY LUTHERAN HOMES, INC. (NPI# 1154316438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154316438 |
| Entity Type | Organization |
| Organization Name | BETHANY LUTHERAN HOMES, INC. |
| Other Organization Name | BETHANY RIVERSIDE |
| Practice Address |
2575 7th St S La Crosse WI 54601-5249 |
| Practice Telephone | 6087758200 |
| Practice Fax Number | 6087758270 |
| Mailing Telephone | 6087758200 |
| Mailing Fax Number | 6087758270 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2011-09-26 |
| Authorized Official Name | MR. TODD A GARVES (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6087758200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2707 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20128200 | 05 |
| Other Name | Type Code |
|---|---|
| Bethany Riverside | Other Name - Individual/Organization |
| Street Address |
2575 7TH ST S |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-5249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104107 | Tessa Johnson | Speech-Language Pathologist | 2575 7th St S, La Crosse, WI 54601-5249 | 2019-03-20 |
| 1518426998 | Mariah L Richardson | Occupational Therapy Assistant | 2575 7th St S, La Crosse, WI 54601-5249 | 2019-03-15 |
| 1538657853 | Nicholas Reed Scheuing | Occupational Therapist | 2575 7th St S, La Crosse, WI 54601-5249 | 2018-04-23 |
| 1669860698 | Janine Merkitch | Physical Therapist | 2575 7th St S, La Crosse, WI 54601-5249 | 2014-12-29 |
| 1255493243 | Mary Jo Griffin | Occupational Therapy Assistant | 2575 7th St S, La Crosse, WI 54601-5249 | 2006-12-15 |
| 1871655860 | Nancy Briski | Occupational Therapist | 2575 7th St S, La Crosse, WI 54601-5249 | 2006-12-15 |
| 1134281124 | Julie Keskimaki | Physical Therapy Assistant | 2575 7th St S, La Crosse, WI 54601-5249 | 2006-12-15 |
| 1134281108 | Pamela Zanter | Speech-Language Pathologist | 2575 7th St S, La Crosse, WI 54601-5249 | 2006-12-15 |
| 1912069915 | Susan Schams | Physical Therapy Assistant | 2575 7th St S, La Crosse, WI 54601-5249 | 2006-12-15 |
| 1386706455 | Amy Evenstad | Occupational Therapy Assistant | 2575 7th St S, La Crosse, WI 54601-5249 | 2006-12-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
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| 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 |
|---|---|---|---|---|
| 1104251446 | Genesis Healthcare | Skilled Nursing Facility | 3025 33rd St S Apt 3, La Crosse, WI 54601-7777 | 2013-09-05 |
| 1356334205 | Bethany St. Joseph Corporation | Skilled Nursing Facility | 2501 Shelby Rd, La Crosse, WI 54601-8037 | 2005-08-25 |
| 1366445793 | County of La Crosse | Skilled Nursing Facility | 3501 Park Lane Dr, La Crosse, WI 54601-7747 | 2005-05-31 |
| 1487657706 | St, Joseph's Rehabilitation Center | Skilled Nursing Facility | 2902 East Ave. So., La Crosse, WI 54601-7297 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 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.