Mennonite Bethesda Society, Inc.
Organization Active NPI Skilled Nursing Facility · Goessel, KS
NPI 1225035553 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1225035553
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- N-057-006 (KS)
- Legal business name
- MENNONITE BETHESDA SOCIETY, INC.
- Practice address
- 408 E. Main St.
Goessel, KS 67053-0037 - Phone
- (620) 367-2291
- Fax
- (620) 367-2294
- NPI assigned
- Jul 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Linda Peters
- Title
- Ceo
- Phone
- (620) 367-2291
Practitioners 1
Affiliated clinicians 2
-
John J Hart, MD
Medicare Care Compare: Nursing home
- Listed as
- Bethesda Home
- 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
- Active
- Certified beds
- 57 · 34.5 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0451033 | Bethesda Home | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
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 · Non-profit
- Enrollment address
- 408 E Main St
Goessel, KS 67053-0037 - Nursing home name
- BETHESDA HOME
All disclosed owners & managing parties 14
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060405000510 | KS | Part a Provider - Skilled Nursing Facility | 0143274373 | Practice locations: Goessel, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N-057-006 | KS | Yes |
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
- Bethesda Home
Other providers in Goessel, KS
All providers in Goessel, KS · Skilled Nursing Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.