Active NPI
Bethany Manor Inc
Doing business as Bethany Life Communities
- Pediatric Skilled Nursing Facility
- Story City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- License
- 850220
- Legal business name
- BETHANY MANOR INC
- Doing business as
- Bethany Life Communities
- Practice address
- 212 Lafayette Ave
Story City, IA 50248-1454 - Phone
- (515) 733-4325
- Fax
- (515) 733-5293
- NPI assigned
- Jan 24, 2007
- Last updated
- Jan 13, 2010
- 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
- Mrs. Betsy Warburton
- Title
- Chief Executive Officer
- Phone
- (515) 733-4325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 850220 | IA | Primary |
Addresses
Primary practice location
212 Lafayette Ave
Story City, IA 50248-1454
Mailing address
212 Lafayette Ave
Story City, IA 50248-1454
Phone (515) 733-4325
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0454272 | Medicaid | IA | |
| 0272575 | Medicaid | IA | |
| 65424 | Other | IA | WELLMARK |
| 0800235 | Medicaid | IA |
Other names 1
- Bethany Life Communities
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091208000244 | IA | Part A Provider - Skilled Nursing Facility | 4183662968 | Practice locations: Story City, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1952456444. Details of each certification follow.
Skilled nursing facility certification: CCN 165424
- Legal name
- BETHANY MANOR INC
- Doing business as
- BETHANY LIFE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 2000
- Last certification
- Feb 13, 2025
- Beds
- 126
- Ownership / control type
- Other Nonprofit
- Organization structure
- Corporation
- Enrollment address
- 212 Lafayette Ave
Story City, IA 50248-1454 - Nursing home name
- BETHANY LIFE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bethany Life
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Sep 1, 2000
- Medicare certification status
- Active
- Certified beds
- 126
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0383127 | Bethany Manor | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Amanda Lankford | Corporate Officer | Jul 31, 2021 | |
| Operational/Managerial Control | Jul 31, 2021 | ||
| Adp of the SNF | Apr 9, 2025 | ||
| Aaron M Heiar | Operational/Managerial Control | Nov 1, 2021 | |
| Adp of the SNF | Feb 4, 2025 | ||
| Kim Schilling | Corporate Officer | Apr 11, 2022 | |
| Operational/Managerial Control | Dec 12, 2024 | ||
| Peter Martin | Managing Control - Governing Body | Jul 1, 2020 | |
| Daniel Bappe | Managing Control - Governing Body | Jul 1, 2023 | |
| Jeremy Allman | Corporate Officer | Jan 1, 2018 | |
| John Sheahan | Managing Control - Governing Body | Jul 1, 2020 | |
| John Clough | Managing Control - Governing Body | Jul 1, 2022 | |
| Morgan Voga | Operational/Managerial Control | Dec 31, 2024 | |
| Adp of the SNF | Dec 31, 2024 | ||
| Nancy L Carlson | Managing Control - Governing Body | Jul 1, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Iowa Falls, IA
- NPI 1558321075
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Story City, IA
- NPI 1952398018
Affiliated clinicians 19
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Ames, IA
- NPI 1093237562
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263340800000",
"number": "1952456444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 LAFAYETTE AVE",
"city": "STORY CITY",
"state": "IA",
"postal_code": "502481454",
"telephone_number": "515-733-4325",
"fax_number": "515-733-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 LAFAYETTE AVE",
"city": "STORY CITY",
"state": "IA",
"postal_code": "502481454",
"telephone_number": "515-733-4325",
"fax_number": "515-733-5293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHANY MANOR INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2010-01-13",
"status": "A",
"authorized_official_last_name": "WARBURTON",
"authorized_official_first_name": "BETSY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "515-733-4325",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "IA",
"license": "850220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0454272",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0272575",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "65424",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0800235",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bethany Life Communities",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Story City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.