Organization Active NPI

Bethany Manor Inc

Doing business as Bethany Life Communities

  • Pediatric Skilled Nursing Facility
  • Story City, IA
National Provider Identifier
1952456444
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
850220 Issued in IA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0454272MedicaidIA
0272575MedicaidIA
65424OtherIAWELLMARK
0800235MedicaidIA

Other names 1

  • Bethany Life Communities Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 LifeCCN 165424 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Sep 1, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
126107.2 residents per day on average
Penalties (3 years)
3Fines totaling $52,329

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
16D0383127Bethany Manor212 Lafayette Avenue, Story City, IA 50248Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Amanda Lankford Individual Corporate OfficerAdministrator Jul 31, 2021
Operational/Managerial Control Jul 31, 2021
Adp of the SNF Apr 9, 2025
Aaron M Heiar Individual Operational/Managerial Control Nov 1, 2021
Adp of the SNF Feb 4, 2025
Kim Schilling Individual Corporate OfficerPresident & Ceo Apr 11, 2022
Operational/Managerial Control Dec 12, 2024
Peter Martin Individual Managing Control - Governing Body Jul 1, 2020
Daniel Bappe Individual Managing Control - Governing Body Jul 1, 2023
Jeremy Allman Individual Corporate Officer Jan 1, 2018
John Sheahan Individual Managing Control - Governing Body Jul 1, 2020
John Clough Individual Managing Control - Governing Body Jul 1, 2022
Morgan Voga Individual Operational/Managerial Control Dec 31, 2024
Adp of the SNF Dec 31, 2024
Nancy L Carlson Individual 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.

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.

Affiliated clinicians 19

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

View all 19

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

Verify at the official NPI Registry.