NPIMap

Organization Active NPI

Bethany-St Joseph Corporation

Doing business as Bethany St. Joseph Care Center

  • Skilled Nursing Facility
  • La Crosse, WI
National Provider Identifier
1356334205
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2540 Issued in WI
Legal business name
BETHANY-ST JOSEPH CORPORATION
Doing business as
Bethany St. Joseph Care Center
Practice address
2501 Shelby Rd
La Crosse, WI 54601-8037
Phone
(608) 788-5700
Fax
(608) 788-4030
NPI assigned
Aug 25, 2005
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Kimberly Gochanour
Title
Ceo
Phone
(608) 788-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2540 WI Primary

Addresses

Primary practice location

2501 Shelby Rd
La Crosse, WI 54601-8037

Mailing address

2501 Shelby Rd
La Crosse, WI 54601-8037
Phone (608) 788-5700

Other names 1

  • BETHANY ST. JOSEPH CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111115000831 WI Part A Provider - Skilled Nursing Facility 9436277654 Practice locations: La Crosse, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356334205. Details of each certification follow.

Skilled nursing facility certification: CCN 525265

Legal name
BETHANY-ST JOSEPH CORPORATION
Doing business as
BETHANY ST JOSEPH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 17, 1977
Last certification
Apr 25, 2024
Beds
100
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Bethany St Joseph Corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 24, 1976 in WI
Enrollment address
2501 Shelby Rd
La Crosse, WI 54601-8037
Nursing home name
BETHANY ST JOSEPH CARE CTR

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bethany St Joseph Care CtrCCN 525265 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 17, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10071.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
The Bethany-St Joseph Corporation Dba Prairie Pointe Rehab Suites6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

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.

NameRoleSinceShare
Michelle M White Individual Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 2, 2024
Scott Barton Individual Operational/Managerial Control Aug 9, 1999
Adp of the SNF Aug 9, 1999
Edward J Malone Individual Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
Terri Pedace Individual Corporate DirectorBoard Member Mar 1, 2021
Operational/Managerial Control Jan 6, 2025
Trustee of the SNF Mar 1, 2021
Adp of the SNF Jan 6, 2025
Nicholas Passe Individual Corporate DirectorBoard Vice President Mar 1, 2019
Operational/Managerial Control Jan 6, 2025
Trustee of the SNF Mar 1, 2019
Adp of the SNF Jan 6, 2025
Karlie White Individual Operational/Managerial Control Jan 1, 2016
Adp of the SNF Jan 1, 2016
Tisha Bennett Individual Operational/Managerial Control Nov 18, 2015
Adp of the SNF Nov 18, 2015
Bonita Sacie Individual Corporate DirectorBoard Member Mar 1, 2022
Operational/Managerial Control Jan 6, 2025
Trustee of the SNF Mar 1, 2022
Adp of the SNF Jan 6, 2025
Paige Schatzke Individual Operational/Managerial Control Nov 3, 2015
Adp of the SNF Nov 3, 2015
Dawn Kutt Individual Corporate DirectorBoard Member Mar 26, 2024
Operational/Managerial Control Jan 7, 2025
Trustee of the SNF Mar 26, 2024
Adp of the SNF Jan 7, 2025
Wipfli LLP Organization, Saint Charles, MO Consulting firm Operational/Managerial Control Jan 23, 2025
Adp of the SNF Jan 23, 2025
Steve Spilde Individual Corporate DirectorBoard Member Mar 1, 2017
Operational/Managerial Control Jan 6, 2025
Trustee of the SNF Mar 1, 2017
Adp of the SNF Jan 6, 2025
Kimberly a Gochanour Individual Corporate OfficerCeo and President Mar 25, 2024 100%
Operational/Managerial Control Mar 25, 2024
Adp of the SNF Mar 25, 2024
Matthew Bersagel Braley Individual Corporate DirectorBoard Member Mar 1, 2022
Operational/Managerial Control Dec 26, 2024
Adp of the SNF Jan 6, 2025
Megan Feirtag Individual Operational/Managerial ControlAdministrator Jan 31, 2017 100%
Adp of the SNF Jan 31, 2017
Charles Hanson Individual Corporate DirectorBoard Member Mar 1, 2022
Operational/Managerial Control Jan 6, 2025
Trustee of the SNF Mar 1, 2022
Adp of the SNF Jan 6, 2025
Kay Berra Individual Corporate Director Mar 28, 2023
Operational/Managerial Control Jan 7, 2025
Trustee of the SNF Mar 28, 2023
Adp of the SNF Jan 7, 2025
Erick Maki Individual Corporate DirectorBoard Member Mar 26, 2024
Operational/Managerial Control Jan 7, 2025
Trustee of the SNF Mar 26, 2024
Adp of the SNF Jan 7, 2025
Cindi Kite Individual Corporate DirectorBoard Member Mar 1, 2018
Operational/Managerial Control Jan 6, 2025
Trustee of the SNF Mar 1, 2018
Adp of the SNF Jan 6, 2025
Sean Martin Individual Corporate DirectorBoard Member Mar 28, 2023
Operational/Managerial Control Jan 7, 2025
Trustee of the SNF Mar 28, 2023
Adp of the SNF Jan 7, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 65

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

View all 65

Practitioners & affiliated clinicians

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": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1356334205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SHELBY RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546018037",
            "telephone_number": "608-788-5700",
            "fax_number": "608-788-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SHELBY RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546018037",
            "telephone_number": "608-788-5700",
            "fax_number": "608-788-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY-ST JOSEPH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "GOCHANOUR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-788-5700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETHANY ST. JOSEPH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BETHANY ST. JOSEPH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.