Bethany Lutheran Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BETHANY LUTHERAN HOME

Practice address

7 Elliott St
Council Bluffs, IA 51503-0239

Phone

(712) 328-9500

Fax

(712) 309-0190

NPI assigned

Nov 4, 2005

Last updated

May 19, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John David Swalwell

Title

Board President

Phone

(712) 328-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003807280. Details of each certification follow.

• CCN 165524 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165524

Legal name

BETHANY LUTHERAN HOME

Doing business as

BETHANY LUTHERAN HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 2003

Last certification

Oct 31, 2024

Beds

112

Ownership / control type

Other Nonprofit

Organization structure

CorporationNon-profit

Enrollment address

7 Elliott St
Council Bluffs, IA 51503-0239

Nursing home name

BETHANY LUTHERAN HOME

Listed as

Bethany Lutheran HomeCCN 165524 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Nov 1, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11294.6 residents per day on average

Penalties (3 years)

3Fines totaling $46,914

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Bethany Lutheran Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bethany Home Health Care

  • Home Health Agency
  • Council Bluffs, IA
  • NPI 1306021340
  NPD tax ID

Networks

• IA HMO C-SNPPlans: DEVOTED C-SNP PLUS 036 IA (HMO C-SNP) (H7993-036-000, H7993)

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Andrew Bishop, D.O.

  • Internal Medicine Physician
  • Johnston, IA
  • NPI 1689088817

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bethany Home Health Care

  • Home Health Agency
  • Council Bluffs, IA
  • NPI 1306021340
  NPPES parent name

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Andrew Bishop, D.O.

  • Internal Medicine Physician
  • Johnston, IA
  • NPI 1689088817

  Nursing home

  Care Compare affiliation
• Matthew F Fryzek, M.D.

  • Internal Medicine Physician
  • Council Bluffs, IA
  • NPI 1417020595

  Nursing home

  Care Compare affiliation
• Alan S Kricsfeld, MD

  • Internal Medicine Physician
  • Council Bluffs, IA
  • NPI 1467406017

  Nursing home

  Care Compare affiliation
• Jessica McCool, M.D.

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1053600296

  Nursing home

  Care Compare affiliation
• Jon Gregory Thomas, M.D.

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1437209434

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1003807280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ELLIOTT ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030239",
            "telephone_number": "712-328-9500",
            "fax_number": "712-328-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ELLIOTT ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030239",
            "telephone_number": "712-328-9500",
            "fax_number": "712-309-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY LUTHERAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "SWALWELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "712-328-9500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800227",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Anne Beresford, D.D.S.
• Ronald Joseph Berube Jr., MS
• Yulissa A Berumen Gurrola
• Ypiman Bessy
• Bethany Home Health Care
• Alyssa Bigelow
• Sydni Billesbach, OD
• Kimberly Bills
• Birch Grove Counseling
• John Bisson, D.D.S.

• Skilled Nursing Facility in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.