BETHEL HOME, INC.
NPI 1528040797
Nursing Facility/Intermediate Care Facility in Montezuma, KS

Q: What is Bethel Home, Inc.'s NPI number?

The NPI number for Bethel Home, Inc. is 1528040797. It was assigned to this organization in the NPPES registry on November 15, 2005.

Q: What is Bethel Home, Inc.'s specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bethel Home, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 15, 2005CLIA 17D0664084 · Waiver

300 S AZTEC ST, MONTEZUMA, KS 67867(620) 846-2241(620) 846-2149 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Bethel Home, Inc. NPPES

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

BETHEL HOME, INC. (NPI 1528040797) is a healthcare organization registered as a nursing facility/intermediate care facility in Montezuma, Kansas and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Merle Koehn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1528040797

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameBETHEL HOME, INC.

Location Address300 S AZTEC STMontezuma, KS 67867-8811

Mailing Address300 S Aztec StMontezuma, KS 67867-8811 · (620) 846-2241 · Fax (620) 846-2149

Phone(620) 846-2241

Fax(620) 846-2149

Organization SubpartNo

Authorized OfficialMerle KoehnAdministrator · (620) 846-2241

Enumeration DateNovember 15, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1528040797 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 KS · N035001

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.

300 S AZTEC ST, Montezuma, KS 67867

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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 17D0664084

Bethel Home Inc · Montezuma, KS

Active · expires Aug 31, 2026

CLIA Number17D0664084

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorMerle Koehn

Laboratory Phone(620) 846-2241

Laboratory LocationBethel Home Inc300 S Aztec, Montezuma, KS 67867

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 3

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

BETHEL HOME HEALTH CARE

Home Health

300 S AZTEC ST, APT. 17A
MONTEZUMA, KS 67867

Gray County (620) 846-7448

MOBILE HEARING OF KANSAS LLC

Audiologist

300 S AZTEC ST
MONTEZUMA, KS 67867

Gray County (620) 846-2241

SAMANTHA JO KRUEGER

Physical Therapy Assistant

300 S AZTEC ST
MONTEZUMA, KS 67867

Gray County (620) 846-2241

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 Bethel Home, Inc.'s NPI number?

The NPI number for Bethel Home, Inc. is 1528040797. It was assigned to this organization in the NPPES registry on November 15, 2005.

Where is Bethel Home, Inc. located?

Bethel Home, Inc. is located at 300 S Aztec St, Montezuma, KS 67867. The listed phone number is (620) 846-2241.

What is Bethel Home, Inc.'s specialty?

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

Does Bethel Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0664084) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bethel Home, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.