Bethany Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

963 Issued in WI

Legal business name

BETHANY HOME INC

Practice address

1226 Berlin St
Waupaca, WI 54981-1991

Phone

(715) 258-5521

Fax

(715) 258-7051

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Gregory S ReichenbachNPI 1922252436

Title

Ceo

Phone

(715) 942-1400

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Skilled nursing facility certification: CCN 525538

Legal name

BETHANY HOME, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1994

Last certification

May 21, 2025

Beds

100

Ownership / control type

Corporation

Organization structure

CorporationNon-profit

Incorporated

Mar 22, 1954 in WI

Enrollment address

1226 Berlin St
Waupaca, WI 54981-1991

Nursing home name

BETHANY HOME

Listed as

Bethany HomeCCN 525538 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 1, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10074.6 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

All disclosed owners & managing parties 7

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

Practitioners 1

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

• Gregory S Reichenbach

  • Physical Therapy Assistant
  • Hixton, WI
  • NPI 1922252436
  NPD Authorized official

Affiliated clinicians 1

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

• Ellen Turner Wenberg, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Waupaca, WI
  • NPI 1235349077

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1215934963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 BERLIN ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811991",
            "telephone_number": "715-258-5521",
            "fax_number": "715-258-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 BERLIN ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811991",
            "telephone_number": "715-258-5521",
            "fax_number": "715-258-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "REICHENBACH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-942-1400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "1874",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21054200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary M. Beatty-Roloff, APNP
• Linda Kathryn Behm, RN
• Valerie R. Belt, COTA
• Honna Benson, LPC
• Dale T Bertram, MD
• Jo Ellen Biadasz, R.N.
• Sarah Lee Binder, LPC
• Bio-Medical Applications of Wisconsin, Inc.
• Kala Blasi, CSAC
• Amber Bloecher, CSAC

• Skilled Nursing Facility in Waupaca, WI
• Providers in Waupaca, 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 Apr 2, 2025; 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.