Organization Active NPI

Graceworks Lutheran Services

  • Skilled Nursing Facility
  • Dayton, OH
National Provider Identifier
1033201611
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0632N Issued in OH
Legal business name
GRACEWORKS LUTHERAN SERVICES
Practice address
6451 Far Hills Ave
Dayton, OH 45459-2725
Phone
(937) 433-2110
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Mr. Robert A Reichard, CPA
Title
Vice President, Finance
Phone
(937) 436-6865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0632N OH Primary

Addresses

Primary practice location

6451 Far Hills Ave
Dayton, OH 45459-2725

Mailing address

6451 Far Hills Ave
Dayton, OH 45459-2725
Phone (937) 433-2110

Other identifiers 1

IdentifierTypeStateIssuer
0684255MedicaidOH

Other names 1

  • Bethany Village Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100423000113 OH Part A Provider - Skilled Nursing Facility 4981731999 Practice locations: Dayton, OH

Skilled nursing facility certification: CCN 365493

Legal name
GRACEWORKS LUTHERAN SERVICES
Doing business as
BETHANY VILLAGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1980
Last certification
Oct 27, 2022
Beds
227
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
May 24, 1926 in OH
Enrollment address
6451 Far Hills Ave
Dayton, OH 45459-2725
Nursing home name
BETHANY VILLAGE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bethany VillageCCN 365493
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
227226.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2268477Bethany Village6451 Far Hills Avenue, Dayton, OH 45459Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Social Service2 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.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Mari E Townsend Individual Corporate DirectorBoard Chair May 14, 2019
John Mittermaier Individual Corporate DirectorBoard Member May 11, 2021
Amy M Houghtling Individual Corporate DirectorProvisional Board Member Apr 8, 2025
Meenakshi C Patel Individual Operational/Managerial Control Apr 1, 2010
Adp of the SNF Feb 7, 2025
Jessica Jordan Individual Corporate DirectorBoard Member Apr 8, 2025
Eugene Long Individual Corporate DirectorBoard Member Jun 2, 2020
Dan Driskell Individual Corporate DirectorBoard Member May 11, 2021
Ann Schemmel Individual Corporate DirectorBoard Member Apr 8, 2025
Lora a. Cox-Vance Individual Corporate DirectorBoard Member Apr 18, 2023
Rita S Bair Individual Corporate DirectorBoard Member Apr 16, 2024
Dawn Barhorst Individual Corporate OfficerVP Human Resources Jan 1, 2020
Robert Reichard Individual Corporate OfficerVP Finance Treasurer Nov 7, 2022
Lauren Coyle Individual Operational/Managerial Control Mar 19, 2021
Adp of the SNF Feb 7, 2025
Ann S Baines Individual Corporate DirectorBoard Member Apr 16, 2024
Graceworks Lutheran Services Organization, Dayton, OH Operational/Managerial Control Apr 1, 2010 100%
Kevin Nels Individual Corporate DirectorBoard Member Aug 8, 2017
Teresa a Quick Individual Corporate DirectorBoard Member May 14, 2019
Mary G Adams Individual Corporate DirectorVice Chair, Board of Directors May 8, 2018
Jackie Anne D'Aurora Individual Corporate OfficerVP Marketing & PR May 10, 2016
Mark S Feuer Individual Corporate DirectorBoard Member May 10, 2016
Mark Chilson Individual Corporate DirectorSecretary, Board Member Jun 2, 2020
Twana S Jones Individual Corporate DirectorBoard Member May 8, 2018
Mose J Richardson Individual Corporate DirectorBoard Member Apr 18, 2023
Linda Ashworth Individual Corporate DirectorBoard Member Apr 8, 2025
Judy Budi Individual Corporate OfficerPresident & Ceo Apr 1, 2010

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bethany Village Home Health CareDayton, OH, CCN 368343 Home health agency 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)
Jun 27, 2008
Jun 27, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1033201611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592725",
            "telephone_number": "937-433-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592725",
            "telephone_number": "937-433-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEWORKS LUTHERAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "REICHARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "937-436-6865",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0632N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0684255",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.