BETHANY MANOR INC NPI 1952456444

NPI Information

  • NPI: 1952456444
  • Provider Name: BETHANY MANOR INC
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • Doing Business As: BETHANY LIFE COMMUNITIES
  • CLIA Number: 16D0383127
  • Address: 212 LAFAYETTE AVE
    STORY CITY, IA
    ZIP 50248
  • Phone: (515) 733-4325

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NPI Details

BETHANY MANOR INC is a nursing care and pediatric skilled nursing facility in Story City, IA. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. BETHANY MANOR INC NPI is 1952456444. The provider is registered as an organization entity type.
The provider Is Doing Business As Bethany Life Communities.

The provider's business location address is:

212 LAFAYETTE AVE
STORY CITY, IA
ZIP 50248-454
Phone: (515) 733-4325
Fax: (515) 733-5293

The provider's authorized official is Betsy Warburton .
The authorized official title is Chief Executive Officer and has the following contact phone number (515) 733-4325.

The CLIA number assigned to this NPI record is 16D0383127 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 1/13/2010.

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
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric850220IOWAYes

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
1165424MEDICARE OSCAR/CERTIFICATIONIOWA
20454272MEDICAIDIOWA
30800235MEDICAIDIOWA
465424OTHERIOWAWELLMARK
50272575MEDICAIDIOWA
60618050001MEDICARE NSCIOWA

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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