Bethany Lutheran Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BETHANY LUTHERAN HOME

Practice address

3008 E Aspen Blvd
Brandon, SD 57005-2202

Phone

(605) 582-8622

Fax

(605) 582-8634

NPI assigned

Aug 14, 2012

Last updated

Jan 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dennis F Sever

Title

Ceo, Administrator

Phone

(605) 582-8622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912254459. Details of each certification follow.

• CCN 435130 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 435130

Legal name

BETHANY LUTHERAN HOME

Doing business as

BETHANY HOME BRANDON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 11, 2012

Last certification

Nov 8, 2024

Beds

60

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Bethany Lutheran Home for the Aged

Organization structure

CorporationNon-profit

Enrollment address

3012 E Aspen Blvd
Brandon, SD 57005-2202

Nursing home name

BETHANY HOME - BRANDON

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bethany Lutheran Home

  dba Bethany Home Sioux Falls

  • Skilled Nursing Facility
  • Sioux Falls, SD
  • NPI 1023063856

  2668409384

  Same PAC ID

Listed as

Bethany Home - BrandonCCN 435130 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Oct 11, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6055.1 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

3Fines totaling $51,350

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Bethany Lutheran Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bethany Lutheran Home

  dba Bethany Home Sioux Falls

  • Skilled Nursing Facility
  • Sioux Falls, SD
  • NPI 1023063856
  NPD tax ID
• Bethany Lutheran Home for the Aged Inc.

  dba Bethany Meadows

  • Assisted Living Facility
  • Brandon, SD
  • NPI 1316277536
  NPD tax ID

Locations

All disclosed owners & managing parties 24

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

Facilities with the same owner 1

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

• Bethany Lutheran Home

  dba Bethany Home Sioux Falls

  • Skilled Nursing Facility
  • Sioux Falls, SD
  • NPI 1023063856

  Augustana Lutheran Church, Beaver Valley Lutheran Church, Benton Lutheran Church, Nathanael Lutheran Church, St Marks Lutheran Church

  CMS ownership

Practitioners 1

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.

• Joseph Glendon Rees, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sioux Falls, SD
  • NPI 1760656193
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michelle McElroy, M.D.

  • Family Medicine Physician
  • Brandon, SD
  • NPI 1205871480

  Nursing home

  Care Compare affiliation
• Joseph Glendon Rees, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sioux Falls, SD
  • NPI 1760656193

  Nursing home

  Care Compare affiliation
• Nicolas Jon Van Es, M.D.

  • Family Medicine Physician
  • Brandon, SD
  • NPI 1285620120

  Nursing home

  Care Compare affiliation
• Abby Jo Viereck, FNP-C

  • Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1679081350

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1912254459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 E ASPEN BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052202",
            "telephone_number": "605-582-8622",
            "fax_number": "605-582-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 E ASPEN BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052202",
            "telephone_number": "605-582-8622",
            "fax_number": "605-582-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY LUTHERAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "SEVER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO, ADMINISTRATOR",
        "authorized_official_telephone_number": "605-582-8622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avera McKennan (Avera Medical Group McGreevy Brandon)
• Avera McKennan (Avera McKennan Outpatient Therapy Services - Brandon)
• Kara Lynn Baas, LPC-MH
• Kyle Babb
• Jessica Ann Bebensee, PHARMD
• Bethany Lutheran Home for the Aged Inc. (Bethany Meadows)
• Betty Elbers
• Ann J Bossman, FNP-BC
• BR Counseling LLC
• Brandon Natural Care Center

• Skilled Nursing Facility in Brandon, SD
• Providers in Brandon, SD by specialty
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.

Verify at the official NPI Registry.