BETHESDA LUTHERAN HOMES & SERVICES
NPI 1265687065
Intermediate Care Facility, Intellectual Disabilities in Sycamore, IL

Active since November 20, 2008
1761 WOODGATE DR, SYCAMORE, IL 60178(815) 895-6496 Get Directions Write a Review

NPPES record last updated: November 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethesda Lutheran Homes & Services NPPES

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

BETHESDA LUTHERAN HOMES & SERVICES (NPI 1265687065) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Sycamore, Illinois and active in the NPI registry since November 2008. The organization lists Jeffrey A Kaczmarski, Clao, as its authorized official.

NPPES Registry Identity

NPI1265687065
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameBETHESDA LUTHERAN HOMES & SERVICES
Location Address1761 WOODGATE DRSycamore, IL 60178-2770
Mailing Address600 Hoffmann DrWatertown, WI 53094-6223 · (920) 261-3050
Organization SubpartNo
Authorized OfficialJeffrey A KaczmarskiClao · (920) 206-4406
Enumeration DateNovember 20, 2008
NPI 1265687065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1761 WOODGATE DR, Sycamore, IL 60178

Other Identifiers 1

Medicaid=========004IL

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Mental Illness
1761 WOODGATE DR
SYCAMORE, IL 60178

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 Bethesda Lutheran Homes & Services's NPI number?

The NPI number for Bethesda Lutheran Homes & Services is 1265687065. It was assigned to this organization in the NPPES registry on November 20, 2008.

Where is Bethesda Lutheran Homes & Services located?

Bethesda Lutheran Homes & Services is located at 1761 Woodgate Dr, Sycamore, IL 60178. The listed phone number is (815) 895-6496.

What is Bethesda Lutheran Homes & Services's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Bethesda Lutheran Homes & Services was last updated on November 20, 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.