BETHEL HOME, INC.
NPI 1528040797
Nursing Facility/Intermediate Care Facility in Montezuma, KS
NPI Status: Active since November 15, 2005
Contact Information
300 S AZTEC ST
MONTEZUMA, KS
ZIP 67867
Phone: (620) 846-2241
Fax: (620) 846-2149
- Organization
- Nursing Facility/Intermediate Care Facil...
- CLIA Number: 17D0664084
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About BETHEL HOME, INC.
This page provides the complete NPI Profile along with additional information for Bethel Home, Inc., a provider established in Montezuma, Kansas operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1528040797 assigned on November 2005. The practitioner's primary taxonomy code is 313M00000X with license number N035001 (KS). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Merle Koehn (Administrator)
- NPI
- 1528040797
- Provider Name
- BETHEL HOME, INC.
- Entity Type
- Organization
- Location Address
- 300 S AZTEC ST MONTEZUMA, KS 67867
- Location Phone
- (620) 846-2241
- Location Fax
- (620) 846-2149
- Mailing Address
- 300 S AZTEC ST MONTEZUMA, KS 67867
- Mailing Phone
- (620) 846-2241
- Mailing Fax
- (620) 846-2149
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-15-2005
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- N035001
- License State
- KS
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 17D0664084
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- MERLE KOEHN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bethel Home, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BETHEL HOME, INC.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 0 | 4 | 0 | 7 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 0 | 4 | 0 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 0 + 4 + 0 + 7 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1528040797 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376911768 | MOBILE HEARING OF KANSAS LLC Organization | Audiologist | 300 S AZTEC ST MONTEZUMA, KS 67867 (620) 846-2241 |
| 1205979432 | BETHEL HOME HEALTH CARE Organization | Home Health | 300 S AZTEC ST APT. 17A MONTEZUMA, KS 67867 (620) 846-7448 |
| 1518321769 | GIAIMO MOBILE PODIATRY LLC Organization | Podiatrist | 300 S AZTEC ST MONTEZUMA, KS 67867 (502) 244-2420 |
| 1740941483 | SAMANTHA JO KRUEGER Individual | Physical Therapy Assistant | 300 S AZTEC ST MONTEZUMA, KS 67867 (620) 846-2241 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528040797, enumerated in the NPI registry as an "organization" on November 15, 2005
The provider is located at 300 S Aztec St Montezuma, Ks 67867 and the phone number is (620) 846-2241
This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X
The provider's CLIA number is 17D0664084 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 15, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.