Mountrail Bethel Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOUNTRAIL BETHEL HOME, INC.

Practice address

615 6TH St SE
Stanley, ND 58784-4444

Phone

(701) 628-2442

Fax

(701) 628-3990

NPI assigned

Oct 10, 2006

Last updated

Jun 4, 2024By 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

Stephanie Everett

Title

Ceo/Administrator

Phone

(701) 682-2424

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184712002. Details of each certification follow.

• CCN 355044 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 355044

Legal name

MOUNTRAIL BETHEL HOME INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1978

Last certification

Dec 4, 2024

Beds

36

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Incorporated

Dec 3, 1970 in ND

Enrollment address

615 6TH St SE
Stanley, ND 58784-4444

Nursing home name

MOUNTRAIL BETHEL HOME

Listed as

Mountrail Bethel HomeCCN 355044 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Jun 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3632.6 residents per day on average

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

Member organizations 3

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

• Mountrail County Medical Center, Inc.

  • Critical Access Hospital
  • Stanley, ND
  • NPI 1740378637

  Member Of

  NPD member
• Mountrail County Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Stanley, ND
  • NPI 1770669921

  Member Of

  NPD member
• Mountrail County Medical Center, Inc.

  • Rural Health Clinic/Center
  • Stanley, ND
  • NPI 1831289362

  Member Of

  NPD member

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.

Owners & managing parties with NPI records 1

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

• Mark Kenneth Longmuir, MD

  • Family Medicine Physician
  • Stanley, ND
  • NPI 1326278912

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 3

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

Owned or controlled facilities with NPI records 3

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

• Mountrail County Medical Center, Inc.

  • Critical Access Hospital
  • Stanley, ND
  • NPI 1740378637

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Mountrail County Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Stanley, ND
  • NPI 1770669921

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Mountrail County Medical Center, Inc.

  • Rural Health Clinic/Center
  • Stanley, ND
  • NPI 1831289362

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Mountrail County Medical Center, Inc.

  • Critical Access Hospital
  • Stanley, ND
  • NPI 1740378637

  Mountrail Bethel Home Inc

  CMS ownership
• Mountrail County Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Stanley, ND
  • NPI 1770669921

  Mountrail Bethel Home Inc

  CMS ownership
• Mountrail County Medical Center, Inc.

  • Rural Health Clinic/Center
  • Stanley, ND
  • NPI 1831289362

  Mountrail Bethel Home Inc

  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.

• Mark Kenneth Longmuir, MD

  • Family Medicine Physician
  • Stanley, ND
  • NPI 1326278912
  NPD (past)

Affiliated clinicians 1

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

• Mark Kenneth Longmuir, MD

  • Family Medicine Physician
  • Stanley, ND
  • NPI 1326278912

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1184712002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "STANLEY",
            "state": "ND",
            "postal_code": "587840700",
            "telephone_number": "701-628-2442",
            "fax_number": "701-628-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 6TH ST SE",
            "city": "STANLEY",
            "state": "ND",
            "postal_code": "587844444",
            "telephone_number": "701-628-2442",
            "fax_number": "701-628-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTRAIL BETHEL HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "701-682-2424"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456667",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030032",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janae Marcene Maier, P.T.
• Shawna P McFarland, LSW
• Jamie D Mills
• Gregory Lee Mortensen, D.C.
• Stacey Mae Mortensen, D.C.
• Mountrail County Medical Center, Inc.
• Mountrail County Medical Center, Inc.
• Mountrail County Medical Center, Inc.
• Mountrail County Medical Center, Inc.
• Mountrail County Social Services

• Skilled Nursing Facility in Stanley, ND
• Providers in Stanley, ND by specialty
• Skilled Nursing Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.