NPIMap

Organization Active NPI

Baptist Home, Inc

  • Skilled Nursing Facility
  • Bismarck, ND
National Provider Identifier
1700855657
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1003A Issued in 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
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Seelochani Stadtherr
Title
Avp, Revenue Cycle Management
Phone
(952) 855-5041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 8003A ND
Skilled Nursing Facility 314000000X 1003A ND Primary

Addresses

Primary practice location

3400 Nebraska Dr
Bismarck, ND 58503

Mailing address

7171 Ohms LN
Edina, MN 55439-2142
Phone (952) 855-5041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041214000388 ND Part A Provider - Skilled Nursing Facility 8426015256 Practice locations: Bismarck, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700855657. Details of each certification follow.

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
CorporationNon-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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Baptist Health & RehabCCN 355058 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
140133.3 residents per day on average
Chain
Cassia16 facilities in the chain
Penalties (3 years)
3Fines totaling $35,323

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
35D0710464Baptist Home3400 Nebraska Drive, Bismarck, ND 58503Certificate of waiverAug 31, 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
Dennis Sotebeer Individual Corporate DirectorBoard Member Jan 1, 2016
Guy P Tangedahl Individual Corporate Director Jan 1, 2007
Darrel Grubb Individual Corporate Director Jan 10, 2013
Cassia Services Organization, Edina, MN Management services company Operational/Managerial Control Jan 1, 2020
Elim Care Inc Organization, Edina, MN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 26, 2009 100%
Brian P Wright Individual Corporate DirectorBoard Member Jan 23, 2020
Deanna Marie Berg Individual Operational/Managerial Control Mar 1, 2019
James Grupp Individual Corporate Director Jun 9, 2009
Michael a Just Individual Corporate DirectorBoard Member Jan 23, 2020
Kathryn Lee Youngquist Individual Corporate OfficerChief Financial Officer Jul 1, 2009
Robert Mahlon Dahl Individual Corporate OfficerChief Executive Officer/President Nov 26, 2009 100%
Gerald Grosz Individual Corporate Director Jul 11, 2013
Matthew Ray Kern Individual Corporate OfficerChief Operating Officer Feb 28, 2019
Maysil Malard Individual Corporate Director Mar 29, 2011

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 6

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 6

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1700855657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 OHMS LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392142",
            "telephone_number": "952-855-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NEBRASKA DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "701-223-3040",
            "fax_number": "701-223-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "STADTHERR",
        "authorized_official_first_name": "SEELOCHANI",
        "authorized_official_title_or_position": "AVP, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "952-855-5041"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "ND",
            "license": "8003A",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1003A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.