OrganizationActive
Bethesda Lutheran Homes and Services, Inc.
NPI 1982790416 · Intellectual Disabilities Intermediate Care Facility · Watertown, WI
Provider details
- NPI number
- 1982790416
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Kaczmarski, Chief Legal Affairs Officer(920) 206-4406
- License
- 1060 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
700 Hoffmann Dr
Watertown, WI 53094
Phone: (920) 261-3050
Street-level locationGet directions
Mailing address
700 Hoffmann Dr
Watertown, WI 53094
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.