Organization Active NPI

Samaritan Bethany Inc

  • Skilled Nursing Facility
  • Rochester, MN
National Provider Identifier
1548225188
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
328445 Issued in MN
Legal business name
SAMARITAN BETHANY INC
Practice address
1530 Assisi Dr NW
Rochester, MN 55901-1637
Phone
(507) 289-5042
Fax
(507) 289-6545
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Sue Knutson
Title
Ceo
Phone
(507) 289-5042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 328445 MN Primary
Skilled Nursing Facility 314000000X 328508 MN

Addresses

Primary practice location

1530 Assisi Dr NW
Rochester, MN 55901-1637

Mailing address

1530 Assisi Dr NW
Rochester, MN 55901-1637
Phone (507) 289-5042

Other identifiers 1

IdentifierTypeStateIssuer
8783BEOtherMNBC/BS HEIGHTS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1548225188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 ASSISI DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011637",
            "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": "1530 ASSISI DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011637",
            "telephone_number": "507-289-5042",
            "fax_number": "507-289-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN BETHANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-289-5042"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328445",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS HEIGHTS",
            "identifier": "8783BE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.