Organization Active NPI

Kidron Bethel Retirement Services, Inc.

Doing business as Bethel Healthcare Centre

  • Skilled Nursing Facility
  • North Newton, KS
National Provider Identifier
1629068838
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N-040-001 Issued in KS
Legal business name
KIDRON BETHEL RETIREMENT SERVICES, INC.
Doing business as
Bethel Healthcare Centre
Practice address
3001 Ivy Drive
North Newton, KS 67117-8002
Phone
(316) 284-2900
Fax
(316) 284-0173
NPI assigned
Oct 27, 2005
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
James Krehbiel
Title
Ceo
Phone
(316) 284-2900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU
Skilled Nursing Facility 314000000X N040-001 KS
Skilled Nursing Facility 314000000X N-040-001 KS Primary

Addresses

Primary practice location

3001 Ivy Drive
North Newton, KS 67117-8002

Mailing address

3001 Ivy Drive
North Newton, KS 67117-8002
Phone (316) 284-2900

Other identifiers 3

IdentifierTypeStateIssuer
10010728BOtherKSHCBS-KS
100107280AMedicaidKS
100107280BOtherKSHCBS

Other names 1

  • Bethel Healthcare Centre Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051027000782 KS Part A Provider - Skilled Nursing Facility 6709803851 Practice locations: North Newton, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629068838. Details of each certification follow.

Skilled nursing facility certification: CCN 175402

Legal name
KIDRON BETHEL RETIREMENT SERVICES, INC.
Doing business as
BETHEL HEALTH CARE CENTRE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1997
Last certification
Dec 18, 2024
Beds
90 (65 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Blustem Communities
Organization structure
CorporationNon-profit
Enrollment address
3001 Ivy Dr
North Newton, KS 67117-8001
Nursing home name
BETHEL HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bethel Health Care CenterCCN 175402 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6560.3 residents per day on average

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
17D0451166Bethel Health Care Centre3001 Ivy Drive, North Newton, KS 67117Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Lisa Harms Individual Corporate DirectorBoard Member Apr 1, 2025
Managing Control - Governing BodyBoard Member Apr 1, 2025
Indirect Ownership Interest Apr 1, 2025
James Krehbiel Individual Corporate OfficerPresident Jan 1, 2012
Operational/Managerial Control Sep 1, 1999
Adp of the SNF Sep 1, 1999
Marlys F Best Individual Managing Control - Governing BodyDirector Apr 1, 2026
Martin Ward Individual Managing Control - Governing BodyDirector Jul 1, 2025
Mike Cullinane Individual Managing Control - Governing BodyDirector Jul 1, 2025
Individual Indirect Ownership Interest Apr 1, 2021
Individual Indirect Ownership Interest Jan 1, 2019
Alisa L Schmidt Individual Adp of the SNF Mar 16, 2023
Kidron Bethel Retirement Services, Inc. Organization, North Newton, KS Corporation Operational/Managerial Control Dec 20, 1983
Sandie Kueker Individual Corporate DirectorBoard Member Apr 1, 2021
Greg Gaeddert Individual Managing Control - Governing BodyDirector May 31, 2026
Jennifer Rischar Traglia Individual Corporate DirectorExecutive Director Oct 9, 2023
Adp of the SNF Oct 9, 2023
Sondra Leatherman Individual Corporate DirectorSecretary Mar 1, 2019
Individual Indirect Ownership Interest Apr 20, 2025
Ronald Flaming Individual Corporate Director Apr 1, 2019

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 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 10

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": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1629068838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 IVY DRIVE",
            "city": "NORTH NEWTON",
            "state": "KS",
            "postal_code": "671178002",
            "telephone_number": "316-284-2900",
            "fax_number": "316-284-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 IVY DRIVE",
            "city": "NORTH NEWTON",
            "state": "KS",
            "postal_code": "671178002",
            "telephone_number": "316-284-2900",
            "fax_number": "316-284-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDRON BETHEL RETIREMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "KREHBIEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-284-2900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N040-001",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N-040-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCBS-KS",
            "identifier": "10010728B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107280A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCBS",
            "identifier": "100107280B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel Healthcare Centre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethel Healthcare Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Newton, KS

Sources for this page

Verify at the official NPI Registry.