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BETHANY HOME
NPI 1053405803
Nursing Facility/Intermediate Care Facility in Dubuque, IA

Active since October 03, 2006CLIA 16D0887301 · Waiver
2/5
Overall Rating
1005 LINCOLN AVE, DUBUQUE, IA 52001(563) 556-5233(563) 556-3078 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bethany Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY HOME (NPI 1053405803) is a healthcare organization registered as a nursing facility/intermediate care facility in Dubuque, Iowa and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Glinda Lee Manternach, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053405803
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameBETHANY HOME
Location Address1005 LINCOLN AVEDubuque, IA 52001-3499
Mailing Address1005 Lincoln AveDubuque, IA 52001-3499 · (563) 556-5233 · Fax (563) 556-3078
Phone(563) 556-5233
Fax(563) 556-3078
Organization SubpartNo
Authorized OfficialGlinda Lee ManternachAdministrator · (563) 556-5233
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 9, 2008
✔ NPI 1053405803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in IA · N-307
Definition
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.
1005 LINCOLN AVE, Dubuque, IA 52001
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Other Identifiers 2

Medicare OSCAR/certification165584IA
Medicaid0800219IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0887301

Bethany Home · Dubuque, IA
Active · expires Jun 8, 2028
CLIA Number16D0887301
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorSusan M. De Moss
Laboratory Phone(563) 556-5233
Laboratory LocationBethany Home1005 Lincoln Avenue, Dubuque, IA 52001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Bethany Home (CMS certification number 165584), from CMS Care Compare.

Bethany Home

Nursing home · Dubuque, IA
2/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number165584
Certified Beds66 beds64 residents per day on average
Medicare & Medicaid Participant SinceApril 17, 2009
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
24.83
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 0.16 · LPN 0.52 · RN 0.88
1.56 hrs per resident per day
Weekend Nurse Staffing
1.04 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Fines
1 totaling $13,470.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Home's NPI number?

The NPI number for Bethany Home is 1053405803. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Bethany Home located?

Bethany Home is located at 1005 Lincoln Ave, Dubuque, IA 52001. The listed phone number is (563) 556-5233.

What is Bethany Home's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Bethany Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0887301) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bethany Home a Medicare-certified nursing home?

Yes. Bethany Home is a Medicare-certified nursing home with 66 certified beds.

What quality rating does Bethany Home have?

CMS rates Bethany Home 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Bethany Home accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Bethany Home as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bethany Home was last updated on October 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.