Active NPI
Bethany Health, L.L.C.
Doing business as Bethany Health and Rehabilitation Center
- Skilled Nursing Facility
- Dekalb, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0042135
- Legal business name
- BETHANY HEALTH, L.L.C.
- Doing business as
- Bethany Health and Rehabilitation Center
- Practice address
- 3298 Resource Pkwy
Dekalb, IL 60115-5331 - Phone
- (815) 756-5526
- Fax
- (815) 756-6399
- NPI assigned
- Jul 26, 2005
- Last updated
- Apr 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph C Tutera
- Title
- President, Ceo
- Phone
- (816) 444-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0042135 | IL | Primary |
Addresses
Primary practice location
3298 Resource Pkwy
Dekalb, IL 60115-5331
Mailing address
3298 Resource Pkwy
Dekalb, IL 60115-5331
Phone (815) 756-5526
Other names 1
- BETHANY HEALTH AND REHABILITATION CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070828000682 | IL | Part A Provider - Skilled Nursing Facility | 3971695495 | Practice locations: Dekalb, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1871593574. Details of each certification follow.
Skilled nursing facility certification: CCN 145958
- Legal name
- BETHANY HEALTH LLC
- Doing business as
- BETHANY REHABILITATION & HEALTH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 28, 1998
- Last certification
- Jul 24, 2024
- Beds
- 90
- Ownership / control type
- Corporation
- Multi-facility organization
- Tutera Sr Living
- Organization structure
- LLC
- Enrollment address
- 3298 Resource Pkwy
Dekalb, IL 60115-5331 - Nursing home name
- BETHANY REHAB & HCC
- Affiliated entity
- TUTERA SENIOR LIVING & HEALTH CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bethany Rehab & HCC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 28, 1998
- Medicare certification status
- Active
- Certified beds
- 90
- Chain
- Tutera Senior Living & Health Care
- Penalties (3 years)
- 8
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mary Margaret Cunningham 2009 Irrv TR | Direct Ownership Interest | Dec 31, 2009 | 16.67% |
| Regena Groves | Adp of the SNF | May 1, 2025 | |
| Randall Bloom | Operational/Managerial Control | May 1, 1997 | |
| Adp of the SNF | May 1, 1997 | ||
| Joseph C Tutera 2009 Irrevocable Trust | Direct Ownership Interest | Dec 31, 2009 | 16.67% |
| Constace Marie Mendolia 2009 Irrv TR | Direct Ownership Interest | Dec 31, 2009 | 16.67% |
| Asad Zaman | Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Joseph C Tutera | Operational/Managerial Control | Dec 14, 1994 | 100% |
| Adp of the SNF | Dec 14, 1994 | ||
| Direct Ownership Interest | Dec 14, 1994 | 50% | |
| Daniel Ritter | Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Kiley a Brooks | Operational/Managerial Control | Aug 15, 2018 | |
| Adp of the SNF | Aug 15, 2018 | ||
| Adp of the SNF | Jun 16, 2025 | ||
| Walnut Creek Management Company LLC | Operational/Managerial Control | Dec 14, 1994 | 100% |
| Adp of the SNF | Apr 8, 2025 | ||
| Dekalb Health Enterprises Inc | Adp of the SNF | Dec 31, 2009 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Tinley Park, IL
- NPI 1780636944
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 21
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Carlinville Rehabilitation and Health Care Center
- Skilled Nursing Facility
- Carlinville, IL
- NPI 1811997760
Walnut Creek Management Company LLC
-
dba Coulterville Rehabilitation & Health Care Center
- Skilled Nursing Facility
- Coulterville, IL
- NPI 1457348435
Walnut Creek Management Company LLC
-
dba Crystal Pines Rehabilitation & Health Care Center
- Skilled Nursing Facility
- Crystal Lake, IL
- NPI 1952301822
Walnut Creek Management Company LLC
-
dba Dixon Healthcare & Rehabilitation Center
- Skilled Nursing Facility
- Dixon, IL
- NPI 1760482673
Walnut Creek Management Company LLC
-
dba El Paso Health Care Center
- Skilled Nursing Facility
- El Paso, IL
- NPI 1568562858
Walnut Creek Management Company LLC
-
dba Fair Oaks Rehabilitation & Health Care Center
- Skilled Nursing Facility
- South Beloit, IL
- NPI 1578563441
Walnut Creek Management Company LLC
-
dba Hillsboro Rehabilitation & Health Care Center
- Skilled Nursing Facility
- Hillsboro, IL
- NPI 1356341226
Walnut Creek Management Company LLC
-
dba Lakeland Rehabilitation & Health Care Center
- Skilled Nursing Facility
- Effingham, IL
- NPI 1881694727
Walnut Creek Management Company LLC
-
dba Mattoon Rehabilitation & Health Care Center
- Skilled Nursing Facility
- Mattoon, IL
- NPI 1457623753
Walnut Creek Management Company LLC
-
dba Metropolis Rehabilitation & Health Care Center
- Skilled Nursing Facility
- Metropolis, IL
- NPI 1649270521
Walnut Creek Management Company LLC
-
- Skilled Nursing Facility
- Belton, MO
- NPI 1215673603
Walnut Creek Management Company LLC
-
- Skilled Nursing Facility
- Asbury, IA
- NPI 1538906367
Walnut Creek Management Company LLC
Practitioners & affiliated clinicians
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": "1122336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619136000000",
"number": "1871593574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3298 RESOURCE PKWY",
"city": "DEKALB",
"state": "IL",
"postal_code": "601155331",
"telephone_number": "815-756-5526",
"fax_number": "815-756-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3298 RESOURCE PKWY",
"city": "DEKALB",
"state": "IL",
"postal_code": "601155331",
"telephone_number": "815-756-5526",
"fax_number": "815-756-6399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHANY HEALTH, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-26",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A",
"authorized_official_last_name": "TUTERA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "816-444-0900"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0042135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BETHANY HEALTH AND REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BETHANY HEALTH AND REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.