BETHEL HOME, INC. (NPI# 1528040797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528040797 |
| Entity Type | Organization |
| Organization Name | BETHEL HOME, INC. |
| Practice Address |
300 S Aztec St Montezuma KS 67867-8811 |
| Practice Telephone | 6208462241 |
| Practice Fax Number | 6208462149 |
| Mailing Telephone | 6208462241 |
| Mailing Fax Number | 6208462149 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MERLE KOEHN (ADMINISTRATOR) |
| Authorized Official Telephone | 6208462241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | N035001 | KS | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124081229 | Bethel Home, Inc. | Skilled Nursing Facility | 225 N Eagle St, Oshkosh, WI 54902-4125 | 2006-04-10 |
| Street Address |
300 S AZTEC ST |
| City | MONTEZUMA |
| State | KS |
| Zip Code | 67867-8811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376911768 | Mobile Hearing of Kansas LLC | Audiologist | 300 S Aztec St, Montezuma, KS 67867-8811 | 2015-09-02 |
| 1205979432 | Bethel Home Health Care | Home Health | 300 S Aztec St, Apt. 17a, Montezuma, KS 67867-8811 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154423234 | Jerry S Jackson | Podiatrist | 300 Aztec St, Montezuma, KS 67867 | 2006-09-01 |
| 1881676112 | Andrew W Schowengerdt | Family Medicine | 304 N Aztec, Montezuma, KS 67867 | 2005-11-14 |
| 1184733396 | Thomas J Brown Jr | Pharmacist | 300 N Aztec, Montezuma, KS 67867-0128 | 2006-08-30 |
| 1659606382 | Usd 371 Montezuma Schools | Local Education Agency (LEA) | 103 W Sunnyside, Montezuma, KS 67867-0355 | 2009-10-14 |
| 1902951668 | Payroll Plus of Kansas, Inc. | Rehabilitation Counselor | 8505 Dd Rd, Montezuma, KS 67867-8849 | 2007-01-24 |
| 1720609738 | Meade Hospital District | Clinic/Center | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-04-30 |
| 1083029359 | Montezuma Drug LLC | Durable Medical Equipment & Medical Supplies | 300 N Aztec St, Montezuma, KS 67867-8874 | 2014-06-25 |
| 1629689591 | St. Catherine Hospital | Internal Medicine | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-08-13 |
| 1861033185 | Montezuma Drug LLC | Pharmacy | 300 N Aztec St, Montezuma, KS 67867-8874 | 2019-10-08 |
| 1164886503 | Jami J Helm | Pharmacist | 300 N Aztec St, Montezuma, KS 67867-8874 | 2016-04-12 |
| Find all providers in zip 67867 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474901 | James I Chou Dds Pa | Nursing Facility/Intermediate Care Facility | 5216 Park St, Shawnee, KS 66216-1141 | 2020-07-10 |
| 1902348865 | Good Shepherd Villages, Inc | Nursing Facility/Intermediate Care Facility | 613 3rd St, Summerfield, KS 66541-8619 | 2016-11-09 |
| 1598215428 | Lucyanne Moraa Okwomi | Nursing Facility/Intermediate Care Facility | 6402 W 89th St, #4, Overland Park, KS 66212-6059 | 2016-10-04 |
| 1972976439 | Franklin Healthcare of Peabody, LLC | Nursing Facility/Intermediate Care Facility | 500 Peabody Ave, Peabody, KS 66866-1206 | 2015-11-05 |
| 1073932950 | Loving Care of Mcpherson | Nursing Facility/Intermediate Care Facility | 1411 Dover Rd, Mcpherson, KS 67460-1722 | 2014-04-08 |
| 1649608282 | Trudy Hansen | Nursing Facility/Intermediate Care Facility | 200 S 14th St, Parsons, KS 67357-4201 | 2013-10-16 |
| 1922446350 | Maize Ccrc, LLC | Nursing Facility/Intermediate Care Facility | 505 N Maize Rd, Wichita, KS 67212-4689 | 2013-06-07 |
| 1194006213 | Rehabcare | Nursing Facility/Intermediate Care Facility | 124 S Skyline Dr, Salina, KS 67401-1627 | 2011-09-01 |
| 1285929489 | Brenda Jo Zeller | Nursing Facility/Intermediate Care Facility | 22459 Greenwood Rd, Belvue, KS 66407-9406 | 2011-06-15 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
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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.