BETHESDA LUTHERAN COMMUNITIES NPI 1265587356

NPI Information

  • NPI: 1265587356
  • Provider Name: BETHESDA LUTHERAN COMMUNITIES
  • Classification: Intermediate Care Facility, Mental Illness - 310500000X
  • Entity Type: Organization
  • Doing Business As: BETHESDA FAITH VILLAGE
  • Address: 14150 W 113TH ST
    SHAWNEE MISSION, KS
    ZIP 66215
  • Phone: (913) 906-5009

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NPI Details

BETHESDA LUTHERAN COMMUNITIES is an intermediate care facility mental illness in Shawnee Mission, KS. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. BETHESDA LUTHERAN COMMUNITIES NPI is 1265587356. The provider is registered as an organization entity type.
The provider Is Doing Business As Bethesda Faith Village.

The provider's business location address is:

14150 W 113TH ST
SHAWNEE MISSION, KS
ZIP 66215-819
Phone: (913) 906-5009
Fax: (913) 469-4028

The provider's authorized official is Jeffrey A. Kaczmarski .
The authorized official title is Chief Legal Affairs Officer and has the following contact phone number (920) 206-4406.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 5/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase Management0841302101KANSASNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesKANSASNo
3310500000XIntermediate Care Facility, Mental Illness1141302101KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100108390DMEDICAIDKANSAS
2100108390BMEDICAIDKANSAS
3100108390CMEDICAIDKANSAS
4100045140KMEDICAIDKANSAS
5100045140EMEDICAIDKANSAS
6100045140DMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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