Active NPI
American Lutheran Homes, Inc.
- Skilled Nursing Facility
- Menomonie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2012
- Legal business name
- AMERICAN LUTHERAN HOMES, INC.
- Practice address
- 915 Elm Ave E
Menomonie, WI 54751-1613 - Phone
- (715) 235-9041
- Fax
- (715) 235-2289
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Duhr
- Title
- Ceo
- Phone
- (715) 832-3003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2012 | WI | Primary |
Addresses
Primary practice location
915 Elm Ave E
Menomonie, WI 54751-1613
Mailing address
PO Box 287
Eau Claire, WI 54702-0287
Phone (715) 832-3003
Other names 1
- American Lutheran Homes - Menomonie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071008000080 | WI | Part A Provider - Skilled Nursing Facility | 5799696654 | Practice locations: Menomonie, WI |
Skilled nursing facility certification: CCN 525480
- Legal name
- AMERICAN LUTHERAN HOMES, INC.
- Doing business as
- AMERICAN LUTHERAN HOMES - MENOMONIE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1992
- Last certification
- Jun 20, 2024
- Beds
- 37
- Ownership / control type
- Church Related
- Multi-facility organization
- American Lutheran Homes Inc
- Organization structure
- Corporation
- Incorporated
- Jun 9, 1961 in WI
- Enrollment address
- 915 Elm Ave E
Menomonie, WI 54751-1613 - Nursing home name
- AMERICAN LUTHERAN HOME-MENOMONIE
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Nursing home
Medicare Care Compare- Listed as
- American Lutheran Home-Menomonie
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Jan 1, 1992
- Medicare certification status
- Active
- Certified beds
- 37
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0706898 | American Lutheran Homes Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- American Lutheran Homes - Menomonie
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Mondovi, WI
- NPI 1215978697
Locations
822 Porter Ave
Eau Claire, WI 54701
200 Memorial Dr
Mondovi, WI 54755
Phone (715) 926-4858
Ownership & related parties
All disclosed owners & managing parties 22
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Stephany Grossier | Corporate Director | May 30, 2024 | |
| Tami Jackson | Operational/Managerial Control | Mar 28, 2025 | |
| Adp of the SNF | Mar 28, 2025 | ||
| Mathew Ulberg | Operational/Managerial Control | Aug 3, 2015 | |
| Adp of the SNF | Aug 3, 2015 | ||
| Linda Larson | Corporate Director | Jan 20, 2025 | |
| Michael Phillips | Operational/Managerial Control | Oct 7, 2022 | |
| Adp of the SNF | Oct 26, 2024 | ||
| Randall Rennock | Operational/Managerial Control | Feb 12, 2020 | |
| Adp of the SNF | Feb 12, 2020 | ||
| Anita Reid | Corporate Director | May 30, 2024 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Ally Stuart | Operational/Managerial Control | May 6, 2024 | |
| Amy K Duhr | Corporate Officer | Jan 17, 2020 | |
| Operational/Managerial Control | Jan 17, 2020 | ||
| Adp of the SNF | Jan 17, 2020 | ||
| Joanne Erickson | Corporate Director | Jun 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Jamie Larson | Corporate Officer | May 29, 2022 | |
| Operational/Managerial Control | May 29, 2022 | ||
| Adp of the SNF | May 29, 2022 | ||
| David Larson | Corporate Director | May 30, 2021 | |
| Jeffery Cline | Operational/Managerial Control | Jan 13, 2021 | |
| Adp of the SNF | Jan 13, 2021 | ||
| Rita Lee | Corporate Director | May 30, 2018 | |
| Leadingchoice Network LLC | Operational/Managerial Control | Jul 1, 2016 | |
| Adp of the SNF | Jun 3, 2025 | ||
| Grace Lutheran Foundation, Inc. | Operational/Managerial Control | Jan 1, 2000 | |
| Adp of the SNF | Jun 3, 2025 | ||
| Adp of the SNF | Jun 3, 2025 | ||
| Stacey Hazuga | Operational/Managerial Control | Sep 24, 2024 | |
| Adp of the SNF | Sep 24, 2024 | ||
| Adp of the SNF | Jun 3, 2025 | ||
| Matthew P Berg | Adp of the SNF | Jul 1, 2016 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Therapist
- Altoona, WI
- NPI 1639960347
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Altoona, WI
- NPI 1952756991
Adp of the SNF, Operational/Managerial Control
-
- Family Medicine Physician
- Menomonie, WI
- NPI 1205870151
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Mondovi, WI
- NPI 1215978697
Grace Lutheran Foundation, Inc.
-
- Skilled Nursing Facility
- Milwaukee, WI
- NPI 1902804586
Leadingchoice Network LLC
-
- Skilled Nursing Facility
- Richland Center, WI
- NPI 1649203050
Leadingchoice Network LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Eau Claire, WI
- NPI 1922531433
Affiliated clinicians 2
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": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675209600000",
"number": "1124068689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 287",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547020287",
"telephone_number": "715-832-3003",
"fax_number": "715-832-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 ELM AVE E",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547511613",
"telephone_number": "715-235-9041",
"fax_number": "715-235-2289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN LUTHERAN HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A",
"authorized_official_last_name": "DUHR",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "715-832-3003"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WI",
"license": "2012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "American Lutheran Homes - Menomonie",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Menomonie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.