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BETH HAVEN NURSING HOME
NPI 1154327187
Skilled Nursing Facility in Hannibal, MO

Active since June 23, 2005CLIA 26D0441445 · Waiver
2500 PLEASANT ST, HANNIBAL, MO 63401(573) 221-6000(573) 221-6172 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2022, Aug 19, 2022, Apr 24, 2020 (3 updates tracked since 2020).

About Beth Haven Nursing Home NPPES

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

BETH HAVEN NURSING HOME (NPI 1154327187) is a healthcare organization registered as a skilled nursing facility in Hannibal, Missouri and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kerri Lauterbach, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1154327187
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMENNONITE HOME ASSOCIATION INC.
Location Address2500 PLEASANT STHannibal, MO 63401-2600
Mailing Address2500 Pleasant StHannibal, MO 63401-2600 · (573) 221-6000 · Fax (573) 221-6172
Phone(573) 221-6000
Fax(573) 221-6172
Organization SubpartNo
Authorized OfficialKerri LauterbachChief Executive Officer · (573) 221-6000
Enumeration DateJune 23, 2005
Last NPPES UpdateAugust 25, 20223 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1154327187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in MO · 030867
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2500 PLEASANT ST, Hannibal, MO 63401
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Other Names 1

Doing Business AsBeth Haven Nursing Home

Other Identifiers 1

Medicaid101480101MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 26D0441445

Beth Haven Nursing Home · Hannibal, MO
Active · expires Aug 31, 2026
CLIA Number26D0441445
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPaul A. Ewert
Laboratory Phone(573) 221-6000
Laboratory LocationBeth Haven Nursing Home2500 Pleasant St, Hannibal, MO 63401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MENNONITE HOME ASSOCIATION INC.
Custodial Care Facility
2500 PLEASANT ST
HANNIBAL, MO 63401
Marion County (573) 221-6000
MENNONITE HOME ASSOCIATION INC.
Assisted Living Facility
2500 PLEASANT ST
HANNIBAL, MO 63401
Marion County (573) 221-6000

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 Mennonite Home Association Inc.'s NPI number?

The NPI number for Mennonite Home Association Inc. is 1154327187. It was assigned to this organization in the NPPES registry on June 23, 2005. The provider is doing business as Beth Haven Nursing Home.

Where is Mennonite Home Association Inc. located?

Mennonite Home Association Inc. is located at 2500 Pleasant St, Hannibal, MO 63401. The listed phone number is (573) 221-6000.

What is Mennonite Home Association Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Mennonite Home Association Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0441445) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mennonite Home Association Inc. accept?

Health plans from UnitedHealthcare list Mennonite Home Association Inc. 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 Mennonite Home Association Inc. was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.