Mennonite Home Association Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030867 Issued in MO

Legal business name

MENNONITE HOME ASSOCIATION INC.

Doing business as

Beth Haven Nursing Home

Practice address

2500 Pleasant St
Hannibal, MO 63401-2600

Phone

(573) 221-6000

Fax

(573) 221-6172

NPI assigned

Jun 23, 2005

Last updated

Aug 25, 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

Ms. Kerri Lauterbach

Title

Chief Executive Officer

Phone

(573) 221-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beth Haven Nursing Home Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154327187. Details of each certification follow.

• CCN 265108 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265108

Legal name

MENNONITE HOME ASSOCIATION INC.

Doing business as

BETH HAVEN NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 7, 1972

Last certification

Feb 6, 2025

Beds

105

Ownership / control type

Corporation

Multi-facility organization

MENNONITE HOME ASSOCIATION INC

Organization structure

CorporationNon-profit

Enrollment address

2500 Pleasant St
Hannibal, MO 63401-2600

Nursing home name

BETH HAVEN NURSING HOME

Listed as

Beth Haven Nursing HomeCCN 265108 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 7, 1972

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10559.5 residents per day on average

Special focus status

SFF Candidate

Penalties (3 years)

6Fines totaling $43,219

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

Tax ID family

Beth Haven Nursing Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Mennonite Home Association Inc.

  dba The Haven Homes

  • Custodial Care Facility
  • Hannibal, MO
  • NPI 1164396073
  NPD tax ID
• Mennonite Home Association Inc.

  dba Pleasant View

  • Assisted Living Facility
  • Hannibal, MO
  • NPI 1629128822
  NPD tax ID
• Mennonite Home Association, Inc

  dba Pleasant View

  • Assisted Living Facility
  • Hannibal, MO
  • NPI 1386851939
  NPD tax ID

All disclosed owners & managing parties 3

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.

• Stephen E. Halpin, M.D.

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1346229937

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

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.

• John Paul Greving, DO

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1043388036
  NPD (past)
• Stephen E. Halpin, M.D.

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1346229937
  NPD (past)
• Erik J Meidl, M.D.

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1891774469
  NPD (past)

Affiliated clinicians 2

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

• John Paul Greving, DO

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1043388036

  Nursing home

  Care Compare affiliation
• Stephen E. Halpin, M.D.

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1346229937

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1154327187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 PLEASANT ST",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012600",
            "telephone_number": "573-221-6000",
            "fax_number": "573-221-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PLEASANT ST",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012600",
            "telephone_number": "573-221-6000",
            "fax_number": "573-221-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE HOME ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "LAUTERBACH",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "573-221-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101480101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beth Haven Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beth Haven Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erik J Meidl, M.D.
• Susan M Meidl, M.D.
• Amelia A Melton, MSW, LMSW
• John A Memken, M.D.
• Raegan Mencer
• Mennonite Home Association Inc. (The Haven Homes)
• Mennonite Home Association Inc. (Pleasant View)
• Mennonite Home Association, Inc (Pleasant View)
• Trae Michael Meny
• Schuyler Cole Metlis, M.D.

• Skilled Nursing Facility in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.