Organization Active NPI

Solheim Lutheran Home

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1114901741
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
CA970000049 Issued in CA
Legal business name
SOLHEIM LUTHERAN HOME
Practice address
2236 Merton Ave
Los Angeles, CA 90041-1915
Phone
(323) 257-7518
Fax
(323) 255-3544
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
James Graunke, NHA
Title
Executive Director
Phone
(323) 257-7518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA970000049 CA Primary

Addresses

Primary practice location

2236 Merton Ave
Los Angeles, CA 90041-1915

Mailing address

2236 Merton Ave
Los Angeles, CA 90041-1915
Phone (323) 257-7518

Other identifiers 1

IdentifierTypeStateIssuer
ZZT18598FMedicaidCA

Other names 1

  • Solheim Senior Community Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060216000513 CA Part A Provider - Skilled Nursing Facility 6800801507 Practice locations: Los Angeles, CA

Skilled nursing facility certification: CCN 555432

Legal name
SOLHEIM LUTHERAN HOME
Doing business as
SOLHEIM SENIOR COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 15, 1990
Last certification
Oct 11, 2024
Beds
76
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Incorporated
Mar 18, 1954 in CA
Enrollment address
2236 Merton Ave
Los Angeles, CA 90041-1915
Nursing home name
SOLHEIM SENIOR COMMUNITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Solheim Senior CommunityCCN 555432
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
May 15, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7664.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0642477Solheim Lutheran Home2236 Merton Avenue, Los Angeles, CA 90041Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Charles Killian Individual Operational/Managerial Control Jun 11, 2023
Adp of the SNF Jun 11, 2023
Joseph Johnson Individual Operational/Managerial Control Jun 9, 2024
Adp of the SNF Jun 9, 2024
Susan Stark Individual Corporate DirectorBoard Member Oct 12, 2014
Adp of the SNF Nov 1, 2020
Paul Egge Individual Corporate Director Jun 1, 2022
Operational/Managerial Control Jun 10, 2018
Adp of the SNF Jun 10, 2018
Adria E. Navarro Individual Corporate Director Jun 1, 2022
Operational/Managerial Control Jun 5, 2022
Adp of the SNF Jun 5, 2022
Solheim Lutheran Home Organization, Los Angeles, CA Corporation Operational/Managerial Control Jun 25, 1966
CL Keedy Individual Corporate Director Nov 1, 2020
Adp of the SNF Jun 9, 2024
Samuel T Oden Individual Corporate OfficerCeo Jan 1, 2020
Garry Mohr Individual Operational/Managerial Control Jun 9, 2024
Adp of the SNF Jun 9, 2024
Kenneth Kallman Individual Corporate Director Jun 1, 2021
Adp of the SNF Jun 13, 2021
Susan Auer Individual Operational/Managerial Control Jun 11, 2023
Indirect Ownership Interest Jun 11, 2023
Meg E Pierce Individual Operational/Managerial ControlAdministrator and Senior Directo Aug 24, 2020
Frederick Garcia Individual Operational/Managerial Control Jun 9, 2024
Adp of the SNF Jun 9, 2024
Thomas Cox Individual Operational/Managerial Control Jun 9, 2024
Adp of the SNF Jun 9, 2024
Ekik Magardornyan Individual Operational/Managerial Control Jun 9, 2024
Adp of the SNF Jun 9, 2024
Robert Gerringer Individual Corporate Director Jul 1, 2021
Adp of the SNF Jun 13, 2021
Brenda Bos Individual Corporate Director Jun 1, 2022
Operational/Managerial Control Jun 5, 2022
Adp of the SNF Jun 5, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114901741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 MERTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411915",
            "telephone_number": "323-257-7518",
            "fax_number": "323-255-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 MERTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411915",
            "telephone_number": "323-257-7518",
            "fax_number": "323-255-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLHEIM LUTHERAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRAUNKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-257-7518",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "CA970000049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18598F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solheim Senior Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.