Organization Active NPI

Mennonite Bethesda Society, Inc.

Doing business as Bethesda Home

  • Skilled Nursing Facility
  • Goessel, KS
National Provider Identifier
1225035553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N-057-006 Issued in KS
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 HomeCCN 175403 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5734.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0451033Bethesda Home408 E Main Street, Goessel, KS 67053Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Brendon Nafziger Individual Corporate DirectorBoard Member Jun 1, 2022
Managing Control - Governing BodyBoard Member Jun 1, 2022
Denise Nickel Individual Corporate Director Jun 1, 2021
Managing Control - Governing BodyBoard Member Jun 1, 2021
Darla Banman Individual Corporate DirectorBoard Member Jun 1, 2018
Managing Control - Governing BodyBoard Member Jun 1, 2018
Nicholas Peters Individual Corporate Director Jun 1, 2024
Managing Control - Governing BodyBoard Member Jun 1, 2024
Eileen Schmidt Individual Corporate Director Apr 1, 2012
Managing Control - Governing BodyBoard Member Jun 1, 2021
Lynette Duerksen Individual Corporate Director Jun 1, 2018
Managing Control - Governing BodyBoard Member Jun 1, 2024
Sara Hiebert Individual Corporate OfficerCeo Aug 1, 2017 100%
Operational/Managerial ControlCeo Aug 1, 2017 100%
Other Aug 1, 2017
Adp of the SNF Nov 8, 2024
Stephanie Regier Individual Corporate DirectorBoard Member Jun 1, 2019
Managing Control - Governing BodyBoard Member Jun 1, 2019
Marci Heidebrecht Individual W-2 Managing EmployeeHR Director Sep 11, 2017
Other Sep 11, 2017
Nancy Stucky Individual Corporate DirectorBoard Member Jun 1, 2020
Managing Control - Governing BodyBoard Member Jun 1, 2020
Elaine Unruh Individual Corporate DirectorBoard Member Jun 1, 2020
Managing Control - Governing BodyBoard Member Jun 1, 2020
Christina Valdois Individual W-2 Managing EmployeeCfo Feb 13, 2017
Operational/Managerial ControlCfo Feb 13, 2017
Other Feb 13, 2017
Lindsey Buller Individual Corporate Director Jun 1, 2022
Managing Control - Governing Body Jun 1, 2022
Karl Brubaker Individual Corporate Director Apr 5, 2010
Managing Control - Governing BodyBoard Member 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.

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

Verify at the official NPI Registry.