Organization Active NPI

Bethesda Home of Aberdeen, Inc.

  • Skilled Nursing Facility
  • Aberdeen, SD
National Provider Identifier
1487641395
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10589 Issued in SD
Legal business name
BETHESDA HOME OF ABERDEEN, INC.
Practice address
1224 S High St
Aberdeen, SD 57401-7724
Phone
(605) 225-7580
Fax
(605) 225-7585
NPI assigned
Oct 5, 2005
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Mr. Scott Eisenbeisz
Title
Ceo/Administrator
Phone
(605) 225-7580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10589 SD Primary

Addresses

Primary practice location

1224 S High St
Aberdeen, SD 57401-7724

Mailing address

1224 S High St
Aberdeen, SD 57401-7724
Phone (605) 225-7580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021125000016 SD Part A Provider - Skilled Nursing Facility 7214845536 Practice locations: Aberdeen, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487641395. Details of each certification follow.

Skilled nursing facility certification: CCN 435073

Legal name
BETHESDA HOME OF ABERDEEN, INC.
Doing business as
BETHESDA HOME OF ABERDEEN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1993
Last certification
Nov 21, 2024
Beds
86
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
May 31, 1982 in SD
Enrollment address
1224 S High St
Aberdeen, SD 57401-7724
Nursing home name
BETHESDA HOME OF ABERDEEN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bethesda Home of AberdeenCCN 435073 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Oct 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8682.4 residents per day on average
Penalties (3 years)
1Fines totaling $25,265

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
43D0407625Bethesda Home of Aberdeen1224 South High St, Aberdeen, SD 57401Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Ho Me3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Judy Albl Individual Corporate DirectorBoard of Directors Member May 1, 2016
Zachary R Andereson Individual Corporate OfficerBoard of Directors Vice President May 1, 2021
Corporate DirectorBoard of Directors Vice President May 1, 2021
Ann Langbehn Individual Corporate OfficerBoard of Directors President Jul 1, 2023
Corporate DirectorBoard of Directors President May 1, 2015
Terri Elsen Individual Corporate DirectorBoard of Directors Member May 1, 2014
Scott Eisenbeisz Individual Corporate DirectorAdministrator Feb 1, 2019 100%
Operational/Managerial Control Feb 1, 2019
Adp of the SNF Feb 1, 2019
Diane Dangel Individual Corporate DirectorBoard of Members Director Sep 1, 2024
Steven T Redmond Individual Operational/Managerial Control May 1, 2023
Adp of the SNF May 1, 2023
Lori a Bohle Individual Operational/Managerial Control Feb 11, 1991
Adp of the SNF Feb 11, 1991
Char a Akkerman Individual Corporate OfficerBoard of Directors Secretary/Treas May 1, 2020
Corporate DirectorBoard of Directors Member May 1, 2020
Leland a Armbright Individual Corporate DirectorBoard of Directors Member Sep 1, 2019
Stacey L Pence Individual Corporate DirectorBoard of Directors Member May 1, 2024
Diane E Warrington Individual Corporate DirectorBoard of Directors Member Jul 1, 2023

Owners & managing parties with NPI records 1

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

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 12

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1487641395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 S HIGH ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574017724",
            "telephone_number": "605-225-7580",
            "fax_number": "605-225-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 S HIGH ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574017724",
            "telephone_number": "605-225-7580",
            "fax_number": "605-225-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HOME OF ABERDEEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2021-11-03",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "EISENBEISZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "605-225-7580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "10589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.