BETHANY HOME INC
NPI 1215934963
Skilled Nursing Facility in Waupaca, WI

Q: What is Bethany Home Inc's NPI number?

The NPI number for Bethany Home Inc is 1215934963. It was assigned to this organization in the NPPES registry on July 7, 2005.

Q: What is Bethany Home Inc's specialty?

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

Q: What quality rating does Bethany Home Inc have?

CMS rates Bethany Home 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Q: When was this NPI record last updated?

The NPPES record for Bethany Home Inc was last updated on April 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 07, 2005CLIA 52D0882487 · Waiver

4/5

Overall Rating

1226 BERLIN ST, WAUPACA, WI 54981(715) 258-5521(715) 258-7051 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2025, Mar 1, 2025, Mar 16, 2023 and 1 more (4 updates tracked since 2020).

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About Bethany Home Inc NPPES

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

BETHANY HOME INC (NPI 1215934963) is a healthcare organization registered as a skilled nursing facility in Waupaca, Wisconsin and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through February 7, 2028 and lists Gregory S Reichenbach, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215934963

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameBETHANY HOME INC

Location Address1226 BERLIN STWaupaca, WI 54981-1991

Mailing Address1226 Berlin StWaupaca, WI 54981-1991 · (715) 258-5521 · Fax (715) 258-7051

Phone(715) 258-5521

Fax(715) 258-7051

Organization SubpartNo

Authorized OfficialGregory S ReichenbachCeo · (715) 942-1400

Enumeration DateJuly 7, 2005

Last NPPES UpdateApril 2, 20254 updates tracked since enumeration

NPPES CertifiedApril 2, 2025

✔ NPI 1215934963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

License✔ Licensed in WI · 963

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.

Also ListedAssisted Living FacilityTaxonomy 310400000X · License 1874 (WI)

1226 BERLIN ST, Waupaca, WI 54981

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Other Identifiers 1

Medicaid21054200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Security Health Plan.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 52D0882487

Bethany Home, Inc · Waupaca, WI

Active · expires Feb 7, 2028

CLIA Number52D0882487

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateFebruary 8, 2026

Certificate Expiration DateFebruary 7, 2028

Laboratory DirectorDr. Ellen Wenberg

Laboratory Phone(715) 258-5521

Laboratory LocationBethany Home, Inc1226 Berlin Street, Waupaca, WI 54981

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 525538), from CMS Care Compare.

Bethany Home

Nursing home · Waupaca, WI

4/5 CMS Overall Rating

OwnershipNon profit - Church related

CMS Certification Number525538

Certified Beds100 beds67 residents per day on average

Medicare & Medicaid Participant SinceJuly 1, 1994

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

5/5

Long-Stay Quality

Quality of care delivered to long-term residents.

5/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

5/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

34.33

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 2.76 · LPN 0.77 · RN 1.09

4.61 hrs per resident per day

Weekend Nurse Staffing

3.76 hrs per resident per day

Physical Therapist Staffing

0.09 hrs per resident per day

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

1 totaling $93,879.50

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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Other Providers at the Same Location NPPES 13

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

MRS. TRACY MARIE DARNUTZER OTR

Occupational Therapist