Bethany Lutheran Homes, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2707 Issued in WI

Legal business name

BETHANY LUTHERAN HOMES, INC.

Practice address

2575 7TH St S
La Crosse, WI 54601-5249

Phone

(608) 775-8200

Fax

(608) 775-8270

NPI assigned

Sep 13, 2005

Last updated

Aug 2, 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. Todd A Garves

Title

Chief Financial Officer

Phone

(608) 406-3888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bethany Riverside Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154316438. Details of each certification follow.

• CCN 525455 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 525455

Legal name

BETHANY LUTHERAN HOMES, INC.

Doing business as

BETHANY LUTHERAN HOMES INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1990

Last certification

Aug 29, 2024

Beds

123

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 26, 1946 in WI

Enrollment address

2575 7TH S St
La Crosse, WI 54601-5249

Nursing home name

RIVERSIDE

Listed as

RiversideCCN 525455 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12393.6 residents per day on average

Penalties (3 years)

1Fines totaling $21,645

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 15

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.

• Elizabeth Ann Cogbill, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • La Crosse, WI
  • NPI 1174628689

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Mary Bassing, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • La Crosse, WI
  • NPI 1629395355

  Nursing home

  Care Compare affiliation
• Timothy J Buckley, DO

  • Internal Medicine Physician
  • La Crosse, WI
  • NPI 1578547493

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1154316438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 7TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015249",
            "telephone_number": "608-775-8200",
            "fax_number": "608-775-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 7TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015249",
            "telephone_number": "608-775-8200",
            "fax_number": "608-775-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY LUTHERAN HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "GARVES",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "608-406-3888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20128200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Riverside",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bethany Riverside",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nathaniel W Berndt, PHARMD
• Pennie Lynn Bernett, BSW
• Robyn L Bernett, PA
• Elizabeth Ann Beseler, P.T.
• Mayra A Betancourt Ponce, MD
• Bethany St Joseph Corporation (Bethany St Joseph DME)
• Bethany-St Joseph Corporation (Bethany St. Joseph Care Center)
• Bethany-St Joseph Corporation (Merit Center)
• Paula M Betlach
• Geoffrey Betz, DPT

• Skilled Nursing Facility in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.