Bethany Board and Lodge, Inc
NPI 1114497773 · Assisted Living Facility · Fosston, MN
Bethany Board and Lodge, Inc is a Assisted Living Facility organization in Fosston, MN (NPI 1114497773).
Provider details
- NPI number
- 1114497773
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tyler Mcglynn, President(218) 280-1609
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sunrise Customized Living
Registry dates
- Enumerated
- 2018-11-27
- Last updated
- 2018-11-27
Frequently asked questions
- What is Bethany Board and Lodge, Inc's NPI number?
- Bethany Board and Lodge, Inc's National Provider Identifier (NPI) is 1114497773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bethany Board and Lodge, Inc?
- Bethany Board and Lodge, Inc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Bethany Board and Lodge, Inc located?
- Bethany Board and Lodge, Inc's practice location on file with NPPES is 203 S Inderlee Ave, Fosston, MN 56542.
- What is Bethany Board and Lodge, Inc's phone number?
- The practice phone number listed in the NPPES registry for Bethany Board and Lodge, Inc is (218) 435-1044.
- Who is the authorized official for Bethany Board and Lodge, Inc?
- The authorized official listed on Bethany Board and Lodge, Inc's NPPES record is Tyler Mcglynn, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bethany Board and Lodge, Inc's NPI active?
- Yes — Bethany Board and Lodge, Inc's NPI (1114497773) is active in the NPPES registry as of the last update on 2018-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.