Bethany on the Lake LLC
NPI 1609380500 · Skilled Nursing Facility · Alexandria, MN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bethany on the Lake LLC is a Skilled Nursing Facility organization in Alexandria, MN (NPI 1609380500).
Provider details
- NPI number
- 1609380500
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Joshua Legum, Ceo(507) 625-8741
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
8 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
Registry dates
- Enumerated
- 2017-11-30
- Last updated
- 2019-10-16
Frequently asked questions
- What is Bethany on the Lake LLC's NPI number?
- Bethany on the Lake LLC's National Provider Identifier (NPI) is 1609380500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bethany on the Lake LLC?
- Bethany on the Lake LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Bethany on the Lake LLC located?
- Bethany on the Lake LLC's practice location on file with NPPES is 1020 Lark St, Alexandria, MN 56308-2219.
- What is Bethany on the Lake LLC's phone number?
- The practice phone number listed in the NPPES registry for Bethany on the Lake LLC is (320) 762-1567.
- Does Bethany on the Lake LLC accept Medicare?
- Bethany on the Lake LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bethany on the Lake LLC?
- The authorized official listed on Bethany on the Lake LLC's NPPES record is Joshua Legum, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bethany on the Lake LLC's NPI active?
- Yes — Bethany on the Lake LLC's NPI (1609380500) is active in the NPPES registry as of the last update on 2019-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.