Organization Active NPI

American Lutheran Homes, Inc.

  • Skilled Nursing Facility
  • Menomonie, WI
National Provider Identifier
1124068689
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2012 Issued in WI
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

Updated by the provider on Feb 1, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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-MenomonieCCN 525480
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Jan 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3728.2 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
52D0706898American Lutheran Homes Inc915 Elm Ave, Menomonie, WI 54751Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
American Lutheran Homes - Menomonie2 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.

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.

NameRoleSinceShare
Stephany Grossier Individual Corporate DirectorBoard Member May 30, 2024
Tami Jackson Individual Operational/Managerial Control Mar 28, 2025
Adp of the SNF Mar 28, 2025
Mathew Ulberg Individual Operational/Managerial Control Aug 3, 2015
Adp of the SNF Aug 3, 2015
Linda Larson Individual Corporate DirectorBoard Member Jan 20, 2025
Michael Phillips Individual Operational/Managerial Control Oct 7, 2022
Adp of the SNF Oct 26, 2024
Randall Rennock Individual Operational/Managerial Control Feb 12, 2020
Adp of the SNF Feb 12, 2020
Anita Reid Individual Corporate DirectorBoard Member May 30, 2024
Individual Adp of the SNF Jan 1, 2023
Ally Stuart Individual Operational/Managerial Control May 6, 2024
Amy K Duhr Individual Corporate OfficerCeo Jan 17, 2020
Operational/Managerial ControlChief Executive Officer Jan 17, 2020
Adp of the SNF Jan 17, 2020
Joanne Erickson Individual Corporate DirectorBoard Member Jun 1, 2023
Individual Adp of the SNF Jan 1, 2023
Jamie Larson Individual Corporate OfficerCoo May 29, 2022
Operational/Managerial Control May 29, 2022
Adp of the SNF May 29, 2022
David Larson Individual Corporate DirectorBoard Member May 30, 2021
Jeffery Cline Individual Operational/Managerial Control Jan 13, 2021
Adp of the SNF Jan 13, 2021
Rita Lee Individual Corporate DirectorBoard Member May 30, 2018
Leadingchoice Network LLC Organization, Madison, WI LLC Operational/Managerial Control Jul 1, 2016
Adp of the SNF Jun 3, 2025
Grace Lutheran Foundation, Inc. Organization, Eau Claire, WI Corporation, Management services company, Non-profit Operational/Managerial Control Jan 1, 2000
Adp of the SNF Jun 3, 2025
Organization, Wauwatosa, WI LLC, Financial institution Adp of the SNF Jun 3, 2025
Stacey Hazuga Individual Operational/Managerial Control Sep 24, 2024
Adp of the SNF Sep 24, 2024
Organization, Eau Claire, WI Corporation, Financial institution Adp of the SNF Jun 3, 2025
Matthew P Berg Individual 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.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.