Bethesda Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10706 Issued in SD

Legal business name

BETHESDA HOME

Practice address

129 W Highway 12
Webster, SD 57274-1000

Phone

(605) 345-3331

Fax

(605) 345-3325

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

David A Rogers

Title

Administrator

Phone

(605) 345-3331

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SD2 enrollments

Enrollment records 2

Skilled nursing facility certification: CCN 435071

Legal name

BETHESDA HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1993

Last certification

Jan 9, 2025

Beds

50

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Incorporated

Apr 29, 1964 in SD

Enrollment address

129 W Hwy 12
Webster, SD 57274-1000

Nursing home name

BETHESDA HOME

Listed as

Bethesda HomeCCN 435071

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Jul 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5042.2 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

Locations

All disclosed owners & managing parties 11

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

Owners & managing parties with NPI records 1

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

• Elizabeth J Gravley, M.D.

  • Family Medicine Physician
  • Webster, SD
  • NPI 1659375137

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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

• Elizabeth J Gravley, M.D.

  • Family Medicine Physician
  • Webster, SD
  • NPI 1659375137
  Medicare reassignment

Affiliated clinicians 1

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

• Elizabeth J Gravley, M.D.

  • Family Medicine Physician
  • Webster, SD
  • NPI 1659375137

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1356348809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W HIGHWAY 12",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "572741000",
            "telephone_number": "605-345-3331",
            "fax_number": "605-345-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W HIGHWAY 12",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "572741000",
            "telephone_number": "605-345-3331",
            "fax_number": "605-345-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-345-3331"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "10706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "85071",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150280",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avera Medical Group Webster
• William John Bacon, PTA
• Paula Bearman, APRN CNP
• Randal James Breske, COTA/L
• Korina Ruth Brockhaus, LMFT
• Gaither D Bynum, M.D.
• Christensen Ambulance Service Inc.
• County of Day

• Skilled Nursing Facility in Webster, SD
• Providers in Webster, SD by specialty
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.