# BETHANY HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bethany Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841377389
- **Authorized official:** ROBERT D TANK (ADMINISTRATOR)
- **Authorized official phone:** (308) 832-1594

## Contact information

- **Practice address:** 515 W 1ST STREET, MINDEN, NE 68959-0150
- **Practice address phone:** (308) 832-1595
- **Practice address fax:** (308) 832-0662
- **Mailing address:** PO BOX 150, 515 W 1ST STREET, MINDEN, NE 68959-0150
- **Mailing address phone:** (308) 832-1595
- **Mailing address fax:** (308) 832-0662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF010 | NE | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 04/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 28E103 | — | NE |