Bethany on the Lake LLC
NPI 1609380500ActiveOrganization· Skilled Nursing Facility· Alexandria, MN
Skilled Nursing Facility in Alexandria, Minnesota, registered in NPPES in November 2017. The authorized official on file is Joshua Legum, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1609380500 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2017 |
| Last updated in NPPES | Oct 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MN) |
|---|
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