Organization Active NPI

Samaritan Bethany Inc

  • Skilled Nursing Facility
  • Rochester, MN
National Provider Identifier
1467473272
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SAMARITAN BETHANY INC
Practice address
24 8TH St NW
Rochester, MN 55901-6817
Phone
(507) 289-5042
Fax
(507) 289-6545
NPI assigned
Jul 21, 2006
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Mrs. Kyla Berg
Title
Co-Mission Leader
Phone
(507) 289-5042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

24 8TH St NW
Rochester, MN 55901-6817

Mailing address

24 8TH St NW
Rochester, MN 55901-6817
Phone (507) 289-5042

Other identifiers 2

IdentifierTypeStateIssuer
851863200MedicaidMN
8782SAOtherMNBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000786 MN Part A Provider - Skilled Nursing Facility 8325117054 Practice locations: Rochester, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467473272. Details of each certification follow.

Skilled nursing facility certification: CCN 245530

Legal name
SAMARITAN BETHANY INC
Doing business as
SAMARITAN BETHANY HOME ON 8TH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1988
Last certification
Dec 12, 2024
Beds
128
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 14, 1971 in MN
Enrollment address
24 8TH St NW
Rochester, MN 55901-6817
Nursing home name
SAMARITAN BETHANY HOME ON EIGHTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Samaritan Bethany Home on EighthCCN 245530 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 1, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12894.2 residents per day on average
Penalties (3 years)
2Fines totaling $27,555

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
24D0404215Samaritan Bethany Home on Eighth24 8TH Street NW, Rochester, MN 55901Certificate of waiverMar 2, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Jerry W Swanson Individual Corporate Officer Apr 22, 2019
Corporate Director Apr 22, 2019
Gary Zander Individual Corporate Officer Apr 22, 2019
Corporate Director Apr 22, 2019
Brandon Miller Individual Corporate OfficerFinance Leader/Cfo Feb 5, 2010
W-2 Managing EmployeeFinance Leader/Cfo Feb 5, 2010
Karen Hartman Individual Corporate Officer Apr 27, 2020
Corporate Director Apr 27, 2020
Joseph Phillips Individual Corporate Officer Jun 27, 2022
Corporate Director Jun 27, 2022
Jerad Faudi Individual Corporate Officer Apr 26, 2021
Corporate Director Apr 26, 2021
Kyla Berg Individual W-2 Managing EmployeeCommunity Leader/Administrator Mar 26, 2012
Susan Knutson Individual Corporate OfficerMission Leader/Ceo Feb 5, 2010
W-2 Managing EmployeeMission Leader/Ceo Mar 17, 2008
Rachel I Dunn Individual Corporate Officer Apr 25, 2016
Corporate Director Apr 25, 2016
John Haug Individual Corporate Officer Apr 26, 2021
Corporate Director Apr 26, 2021
Kirby Bakken Individual Corporate Officer Apr 27, 2020
Corporate Director Apr 27, 2020
Terry Bird Individual Corporate Officer Jul 24, 2017
Corporate Director Jul 24, 2017
Pamela Shulze Individual Corporate Officer Apr 26, 2021
Corporate Director Apr 26, 2021
Laurie Deyoung Individual Corporate Officer Aug 28, 2017
Corporate Director Aug 28, 2017
Robert Beaulieu Individual Corporate Officer Apr 27, 2020
Corporate Director Apr 27, 2020
Beverly Moravec Individual Corporate Officer Aug 22, 2022
Corporate Director Aug 22, 2022
Scott Davis Individual Corporate Officer Apr 28, 2014
Corporate Director Apr 28, 2014

Practitioners & affiliated clinicians

Practitioners 2

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 7

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1467473272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 8TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016817",
            "telephone_number": "507-289-5042",
            "fax_number": "507-289-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 8TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016817",
            "telephone_number": "507-289-5042",
            "fax_number": "507-289-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN BETHANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "KYLA",
        "authorized_official_title_or_position": "CO-MISSION LEADER",
        "authorized_official_telephone_number": "507-289-5042",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "851863200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8782SA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.