Bethany Lutheran Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10677 Issued in SD

Legal business name

BETHANY LUTHERAN HOME

Doing business as

Bethany Home Sioux Falls

Practice address

1901 S Holly Ave
Sioux Falls, SD 57105-2407

Phone

(605) 338-2351

Fax

(605) 338-0241

NPI assigned

May 23, 2006

Last updated

Oct 20, 2022By 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

Mr. Dennis Fred Sever

Title

Administrator

Phone

(605) 338-2351

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bethany Home Sioux Falls Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023063856. Details of each certification follow.

• CCN 435096 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 435096

Legal name

BETHANY LUTHERAN HOME

Doing business as

BETHANY HOME SIOUX FALLS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 1996

Last certification

Nov 7, 2024

Beds

52

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Bethany Lutheran Home for the Aged

Organization structure

CorporationNon-profit

Incorporated

Mar 24, 1950 in SD

Enrollment address

1901 S Holly Ave
Sioux Falls, SD 57105-2407

Nursing home name

BETHANY HOME SIOUX FALLS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bethany Lutheran Home

  • Skilled Nursing Facility
  • Brandon, SD
  • NPI 1912254459

  2668409384

  Same PAC ID

Listed as

Bethany Home Sioux FallsCCN 435096 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Mar 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5242.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Bethany Lutheran Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Bethany Lutheran Home

  • Skilled Nursing Facility
  • Brandon, SD
  • NPI 1912254459
  NPD tax ID
• Bethany Lutheran Home for the Aged Inc.

  dba Bethany Meadows

  • Assisted Living Facility
  • Brandon, SD
  • NPI 1316277536
  NPD tax ID

Locations

All disclosed owners & managing parties 20

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Bethany Lutheran Home

  • Skilled Nursing Facility
  • Brandon, SD
  • NPI 1912254459

  Augustana Lutheran Church, Beaver Valley Lutheran Church, Benton Lutheran Church, Nathanael Lutheran Church, St Marks Lutheran Church

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Glendon Rees, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sioux Falls, SD
  • NPI 1760656193
  NPD (past)

Affiliated clinicians 1

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

• Joseph Glendon Rees, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sioux Falls, SD
  • NPI 1760656193

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1023063856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S HOLLY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052407",
            "telephone_number": "605-338-2351",
            "fax_number": "605-338-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S HOLLY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052407",
            "telephone_number": "605-338-2351",
            "fax_number": "605-338-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY LUTHERAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "SEVER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-338-2351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "10677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS",
            "identifier": "85096",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150010",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Home Sioux Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.