Baptist Home, Inc
Organization Active NPI Skilled Nursing Facility · Bismarck, ND
NPI 1700855657 · NPPES record last updated Jul 23, 2026
Key facts
- NPI
- 1700855657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1003A (ND)
- Legal business name
- BAPTIST HOME, INC
- Practice address
- 3400 Nebraska Dr
Bismarck, ND 58503 - Phone
- (701) 223-3040
- Fax
- (701) 223-3053
- NPI assigned
- Mar 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Seelochani Stadtherr
- Title
- Avp, Revenue Cycle Management
- Phone
- (952) 855-5041
Facilities with the same owner 12
Practitioners 6
-
Brian J Hebert, MD
-
Vanna Rose Kay, MD
-
Krissondra Leigh Klop, D.O.
Affiliated clinicians 6
-
Matthew L. Hamar, D.O.
-
Brian J Hebert, MD
-
Vanna Rose Kay, MD
-
Krissondra Leigh Klop, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Baptist Health & Rehab
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Jul 1, 1978
- Medicare certification status
- Active
- Certified beds
- 140 · 133.3 residents per day on average
- Chain
- Cassia
- Penalties (3 years)
- 3 · fines totaling $35,323
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D0710464 | Baptist Home | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Skilled nursing facility certification: CCN 355058
- Legal name
- BAPTIST HOME, INC
- Doing business as
- BAPTIST HEALTH & REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1978
- Last certification
- Apr 16, 2025
- Beds
- 140
- Ownership / control type
- Church Related
- Multi-facility organization
- Cassia
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 26, 1940 in ND
- Enrollment address
- 3400 Nebraska Dr
Bismarck, ND 58503-1649 - Nursing home name
- BAPTIST HEALTH & REHAB
- Affiliated entity
- CASSIA
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Dennis Sotebeer |
Corporate Director |
Jan 1, 2016 | |
| Guy P Tangedahl |
Corporate Director | Jan 1, 2007 | |
| Darrel Grubb |
Corporate Director | Jan 10, 2013 | |
| Cassia Services |
Operational/Managerial Control | Jan 1, 2020 | |
| Elim Care Inc |
5% Or Greater Direct Ownership Interest | Nov 26, 2009 | 100% |
| Brian P Wright |
Corporate Director |
Jan 23, 2020 | |
| Deanna Marie Berg |
Operational/Managerial Control | Mar 1, 2019 | |
| James Grupp |
Corporate Director | Jun 9, 2009 | |
| Michael a Just |
Corporate Director |
Jan 23, 2020 | |
| Kathryn Lee Youngquist |
Corporate Officer |
Jul 1, 2009 | |
| Robert Mahlon Dahl |
Corporate Officer |
Nov 26, 2009 | 100% |
| Gerald Grosz |
Corporate Director | Jul 11, 2013 | |
| Matthew Ray Kern |
Corporate Officer |
Feb 28, 2019 | |
| Maysil Malard |
Corporate Director | Mar 29, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041214000388 | ND | Part a Provider - Skilled Nursing Facility | 8426015256 | Practice locations: Bismarck, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 8003A | ND | |
| Skilled Nursing Facility | 314000000X | 1003A | ND | Yes |
Addresses
Primary practice location
3400 Nebraska Dr
Bismarck, ND 58503
Mailing address
7171 Ohms LN
Edina, MN 55439-2142
Phone (952) 855-5041
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030728 | Medicaid | ND | |
| 1321 | Other | ND | BLUE CROSS BLUE SHIELD |
| 030003 | Medicaid | ND |
Other providers in Bismarck, ND
- Tammy Balliet
- April Balsley
- Jessica A Balvitsch
- Lance Balzer
- Mariah M Banse
- Hannah Baranick
- Katherine Barchenger
- Kayli Bardell
- Karissa Nycol Barfield
- Madisyn Lee Bargmann
All providers in Bismarck, ND · Skilled Nursing Facility in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.