Bethany Home

Bethany Home is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in Dubuque, IA, holding Type 2 (organization) NPI 1053405803 since 2006. The authorized official on file is Glinda Manternach, Administrator.

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NPI 1053405803
Entity type Organization (Type 2)
Legal business name Bethany Home
Practice address 1005 LINCOLN AVE, Dubuque, IA, 52001
Phone 5635565233
Fax 5635563078
Enumeration date 2006-10-03
Last updated in NPPES 2008-10-09

Authorized official

Name Glinda Manternach
Title Administrator
Phone 5635565233

Taxonomy & classification

Taxonomy code Specialty Primary License State
313M00000X Nursing Facility/Intermediate Care Facility Primary N-307 IA

Other identifiers

Identifier Type State Issuer
0800219 Medicaid IA
Copy-ready billing details
Provider: Bethany Home
NPI: 1053405803
Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility)
Address: 1005 LINCOLN AVE, Dubuque, IA, 52001

Verify this record

Cross-check NPI 1053405803 against the authoritative CMS record: view Bethany Home on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-10-09. Verify at npiregistry.cms.hhs.gov.
Where is Bethany Home located?
The practice location on file with NPPES is in Dubuque, IA.

Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2008-10-09.