Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BETHESDA LUTHERAN HOMES AND SERVICES, INC.
Active
Organization
BETHESDA LUTHERAN HOMES AND SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A. KACZMARSKI (CHIEF LEGAL AFFAIRS OFFICER)
(920) 206-4406
Entity
Organization
Contact information
Practice address
700 HOFFMANN DR, WATERTOWN, WI 53094
(920) 261-3050
Mailing address
700 HOFFMANN DR, WATERTOWN, WI 53094
(920) 261-3050
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1060
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20132700
—
WI
Enumeration date
10/04/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up