St. Luke's Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1015A Issued in ND

Legal business name

ST. LUKE'S HOME

Practice address

242 10TH St W
Dickinson, ND 58601

Phone

(701) 483-5000

Fax

(701) 483-5007

NPI assigned

May 22, 2006

Last updated

Aug 10, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Leanne Kreidt

Title

Ceo/Administrator

Phone

(701) 483-5000

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023062155. Details of each certification follow.

• CCN 355063 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 355063

Legal name

ST. LUKE'S HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1978

Last certification

Apr 10, 2025

Beds

88

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 27, 1978 in ND

Enrollment address

242 10TH St W
Dickinson, ND 58601-3926

Nursing home name

ST LUKES HOME

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St. Luke's Home

  • Skilled Nursing Facility
  • Dickinson, ND
  • NPI 1912466947

  O20100220000421

  Same enrollment

Listed as

St Lukes HomeCCN 355063 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8886.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

St Luke's Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Luke's Home

  • Skilled Nursing Facility
  • Dickinson, ND
  • NPI 1912466947
  NPD tax ID

Locations

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Patricia W Anderson, MD

  • Internal Medicine Physician
  • Dickinson, ND
  • NPI 1013970532

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia W Anderson, MD

  • Internal Medicine Physician
  • Dickinson, ND
  • NPI 1013970532
  NPD (past)
• Bruce W Olin, MD

  • Internal Medicine Physician
  • Dickinson, ND
  • NPI 1134116775
  NPD (past)
• Cory E. Rathgeber, M.D.

  • Family Medicine Physician
  • Dickinson, ND
  • NPI 1649367343
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Patricia W Anderson, MD

  • Internal Medicine Physician
  • Dickinson, ND
  • NPI 1013970532

  Nursing home

  Care Compare affiliation
• Brian E O'Hara, MD

  • Internal Medicine Physician
  • Dickinson, ND
  • NPI 1568459113

  Nursing home

  Care Compare affiliation
• Cory E. Rathgeber, M.D.

  • Family Medicine Physician
  • Dickinson, ND
  • NPI 1649367343

  Nursing home

  Care Compare affiliation
• Nolan M Kleinjan, MD

  • Internal Medicine Physician
  • La Crosse, WI
  • NPI 1386131100

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1023062155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 10TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013926",
            "telephone_number": "701-483-5000",
            "fax_number": "701-483-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 10TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "58601",
            "telephone_number": "701-483-5000",
            "fax_number": "701-483-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "KREIDT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "701-483-5000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1015A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30011",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "1370",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• St. Joseph's Hospital and Health Center
• St. Joseph's Hospital and Health Center (St. Joseph's Walk-in Clinic)
• St. Joseph's Hospital and Health Center
• St. Joseph's Hospital and Health Center
• St. Joseph's Hospital and Health Center (CHI St Alexius Health Dickinson)
• St. Luke's Home
• Alaina Marie Stadheim-Olson, PHARM D
• Darcy Stafford, LRD
• Alijah Stagl
• Audra R Stanley

• Skilled Nursing Facility in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Skilled Nursing Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.