Active NPI
Mennonite Bethesda Society, Inc.
Doing business as Bethesda Home
- Skilled Nursing Facility
- Goessel, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N-057-006
- Legal business name
- MENNONITE BETHESDA SOCIETY, INC.
- Doing business as
- Bethesda Home
- Practice address
- 408 E. Main St.
Goessel, KS 67053-0037 - Phone
- (620) 367-2291
- Fax
- (620) 367-2294
- NPI assigned
- Jul 1, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Peters
- Title
- Ceo
- Phone
- (620) 367-2291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N-057-006 | KS | Primary |
Addresses
Primary practice location
408 E. Main St.
Goessel, KS 67053-0037
Mailing address
408 E. Main St.
Box 37
Goessel, KS 67053-0037
Phone (620) 367-2291
Other names 1
- Bethesda Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060405000510 | KS | Part A Provider - Skilled Nursing Facility | 0143274373 | Practice locations: Goessel, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1225035553. Details of each certification follow.
Skilled nursing facility certification: CCN 175403
- Legal name
- MENNONITE BETHESDA SOCIETY, INC.
- Doing business as
- BETHESDA HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1997
- Last certification
- Mar 12, 2025
- Beds
- 57
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 408 E Main St
Goessel, KS 67053-0037 - Nursing home name
- BETHESDA HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bethesda Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1997
- Medicare certification status
- Active
- Certified beds
- 57
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0451033 | Bethesda Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Brendon Nafziger | Corporate Director | Jun 1, 2022 | |
| Managing Control - Governing Body | Jun 1, 2022 | ||
| Denise Nickel | Corporate Director | Jun 1, 2021 | |
| Managing Control - Governing Body | Jun 1, 2021 | ||
| Darla Banman | Corporate Director | Jun 1, 2018 | |
| Managing Control - Governing Body | Jun 1, 2018 | ||
| Nicholas Peters | Corporate Director | Jun 1, 2024 | |
| Managing Control - Governing Body | Jun 1, 2024 | ||
| Eileen Schmidt | Corporate Director | Apr 1, 2012 | |
| Managing Control - Governing Body | Jun 1, 2021 | ||
| Lynette Duerksen | Corporate Director | Jun 1, 2018 | |
| Managing Control - Governing Body | Jun 1, 2024 | ||
| Sara Hiebert | Corporate Officer | Aug 1, 2017 | 100% |
| Operational/Managerial Control | Aug 1, 2017 | 100% | |
| Other | Aug 1, 2017 | ||
| Adp of the SNF | Nov 8, 2024 | ||
| Stephanie Regier | Corporate Director | Jun 1, 2019 | |
| Managing Control - Governing Body | Jun 1, 2019 | ||
| Marci Heidebrecht | W-2 Managing Employee | Sep 11, 2017 | |
| Other | Sep 11, 2017 | ||
| Nancy Stucky | Corporate Director | Jun 1, 2020 | |
| Managing Control - Governing Body | Jun 1, 2020 | ||
| Elaine Unruh | Corporate Director | Jun 1, 2020 | |
| Managing Control - Governing Body | Jun 1, 2020 | ||
| Christina Valdois | W-2 Managing Employee | Feb 13, 2017 | |
| Operational/Managerial Control | Feb 13, 2017 | ||
| Other | Feb 13, 2017 | ||
| Lindsey Buller | Corporate Director | Jun 1, 2022 | |
| Managing Control - Governing Body | Jun 1, 2022 | ||
| Karl Brubaker | Corporate Director | Apr 5, 2010 | |
| Managing Control - Governing Body | Jun 1, 2021 |
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Hesston, KS
- NPI 1295992121
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225035553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 E. MAIN ST.",
"address_2": "BOX 37",
"city": "GOESSEL",
"state": "KS",
"postal_code": "670530037",
"telephone_number": "620-367-2291",
"fax_number": "620-367-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 E. MAIN ST.",
"city": "GOESSEL",
"state": "KS",
"postal_code": "670530037",
"telephone_number": "620-367-2291",
"fax_number": "620-367-2294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENNONITE BETHESDA SOCIETY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "620-367-2291"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "N-057-006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bethesda Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Goessel, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.