Organization Active NPI

Bethel Home, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Montezuma, KS
National Provider Identifier
1528040797
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
N035001 Issued in KS
Legal business name
BETHEL HOME, INC.
Practice address
300 S Aztec St
Montezuma, KS 67867-8811
Phone
(620) 846-2241
Fax
(620) 846-2149
NPI assigned
Nov 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Merle Koehn
Title
Administrator
Phone
(620) 846-2241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X N035001 KS Primary

Addresses

Primary practice location

300 S Aztec St
Montezuma, KS 67867-8811

Mailing address

300 S Aztec St
Montezuma, KS 67867-8811
Phone (620) 846-2241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170512001677 KS Part A Provider - Skilled Nursing Facility 0446537831 Practice locations: Montezuma, KS

Skilled nursing facility certification: CCN 175528

Legal name
BETHEL HOME INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 28, 2012
Last certification
Jan 16, 2025
Beds
56
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Enrollment address
300 S Aztec St
Montezuma, KS 67867-8811
Nursing home name
BETHEL HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bethel HomeCCN 175528
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
Aug 28, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5653.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
David Unruh Individual Corporate DirectorBoard Member Jan 1, 2019
Andrew W Schowengerdt Individual Corporate DirectorMedical Director Aug 1, 1991
Operational/Managerial Control Aug 1, 1991
Adp of the SNF Aug 1, 1991
Chris Yost Individual Corporate DirectorBoard Member Jan 1, 2024
Eugene Koehn Individual Corporate OfficerBoard Chairman Jan 1, 2018
Brian Koehn Individual Operational/Managerial Control Mar 13, 2018
Adp of the SNF Mar 13, 2018
Lennis Koehn Individual Corporate DirectorBoard Member Jan 1, 2018
Terry Ensz Individual Corporate OfficerBoard Secretary Jan 1, 2021
Presley Koehn Individual Corporate DirectorBoard Member Jan 1, 2024
Travis Isaac Individual Corporate DirectorBoard Member Jan 1, 2022
Brenton Nickel Individual Corporate DirectorBoard Member Jan 1, 2024
James Smith Individual Corporate OfficerBoard Treasurer Jan 1, 2021
Lance Johnson Individual Corporate DirectorBoard Member Jan 1, 2023
Brandon Unruh Individual Corporate DirectorBoard Member Jan 1, 2023
Don Koehn Individual Corporate DirectorBoard Member Jan 1, 2021

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.

Affiliated clinicians 1

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": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528040797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S AZTEC ST",
            "city": "MONTEZUMA",
            "state": "KS",
            "postal_code": "678678811",
            "telephone_number": "620-846-2241",
            "fax_number": "620-846-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S AZTEC ST",
            "city": "MONTEZUMA",
            "state": "KS",
            "postal_code": "678678811",
            "telephone_number": "620-846-2241",
            "fax_number": "620-846-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOEHN",
        "authorized_official_first_name": "MERLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-846-2241",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "N035001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montezuma, KS

Sources for this page

Verify at the official NPI Registry.