NPIMap

Organization Active NPI

American Lutheran Homes Inc

Doing business as Bethany on University

  • Rehabilitation Clinic/Center
  • Fargo, ND
National Provider Identifier
1134523004
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
1020 Issued in ND
Legal business name
AMERICAN LUTHERAN HOMES INC
Doing business as
Bethany on University
Practice address
201 University Dr S
Fargo, ND 58103-1775
Phone
(701) 239-3000
Fax
(701) 239-3237
NPI assigned
Oct 21, 2014
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN LUTHERAN HOMES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Mr. Shawn Stuhaug
Title
President/Ceo
Phone
(701) 239-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 1020 ND Primary

Addresses

Primary practice location

201 University Dr S
Fargo, ND 58103-1775

Mailing address

201 University Dr S
Fargo, ND 58103-1775
Phone (701) 239-3000

Other identifiers 1

IdentifierTypeStateIssuer
000056522MedicaidND

Other names 1

  • Bethany on University Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bethany Towers Basic Care3 organizations share this tax ID, including this one
Part of
Bethany Towers Basic Care

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1134523004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031775",
            "telephone_number": "701-239-3000",
            "fax_number": "701-239-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031775",
            "telephone_number": "701-239-3000",
            "fax_number": "701-239-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN LUTHERAN HOMES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN LUTHERAN HOMES, INC",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "STUHAUG",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "701-239-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "ND",
            "license": "1020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000056522",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany on University",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.