OrganizationActive
Bethesda Long Term Care, Inc
NPI 1114993391 · Skilled Nursing Facility · Saint Louis, MO
Provider details
- NPI number
- 1114993391
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Roger Byrne, Cfo(314) 800-1955
- License
- 031349 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
9645 Big Bend Blvd
Saint Louis, MO 63122-6521
Phone: (314) 968-5460
Fax: (314) 800-1961
Street-level locationGet directions
Mailing address
12101 Woodcrest Executive Dr Ste 200
Saint Louis, MO 63141-5047
Other names (DBA / former)
- Doing business as
- Bethesda Dilworth
Registry dates
- Enumerated
- 2006-02-27
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.