NPIMap

Organization Active NPI

Lakeview Memorial Hospital Association, Inc.

Doing business as Lakeview Homecare

  • Home Health Agency
  • Oak Park Heights, MN
National Provider Identifier
1174522239
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC.
Doing business as
Lakeview Homecare
Practice address
5803 Neal Ave N
Oak Park Heights, MN 55082-2177
Phone
(651) 430-3320
NPI assigned
Jul 20, 2005
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Brandi Lunneborg
Title
President
Phone
(651) 430-5207

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MN Primary
Home Infusion Agency 251F00000X

Addresses

Primary practice location

5803 Neal Ave N
Oak Park Heights, MN 55082-2177

Mailing address

8170 33Rd Avenue South
Mailstop 21110Q
Bloomington, MN 55425

Other names 1

  • Lakeview Homecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030523000036 MN Part A Provider - Home Health Agency 1951210855 Practice locations: Oak Park Heights, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174522239. Details of each certification follow.

Home health agency certification: CCN 248008

Legal name
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC.
Doing business as
LAKEVIEW HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 12, 1994
Last certification
Sep 6, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1958 in MN
Enrollment address
5803 Neal Ave N
Mailstop 19501a
Oak Park Heights, MN 55082-2177

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lakeview HomecareCCN 248008 · All quality measures
Overall star rating
4.5 of 5
Ownership
Non-Profit
Certified
Oct 12, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Memorial Hosp8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1715 Tower Dr W
Ste 330
Stillwater, MN 55082
Phone (651) 430-3320

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Jason Gallagher Individual Corporate Director Jan 1, 2024
Jack R Dressen Individual Corporate Director Jan 1, 2026
Khu Thao Individual Corporate Director Aug 1, 2023
Nicholas Weiss Individual Corporate Director Jan 1, 2026
Melissa Kolb Individual Corporate Director Apr 1, 2020
Michael Anderson Individual Corporate Director Jan 17, 2017
Stillwater Health System Organization, Stillwater, MN Operational/Managerial Control Apr 1, 2005
Sharon Tolva Individual Corporate Director Jan 1, 2019
Annie Jacobsen Individual Corporate Director Aug 1, 2023
Mark Gherty Individual Corporate Director May 1, 2018
Richard G Dado Individual Corporate Director Jun 1, 2019
Criag Yehlik Individual Corporate Director Jan 1, 2020
Kris Tjornehoj Individual Corporate Director May 1, 2018
Terrence J Maag Individual W-2 Managing EmployeeMD; Jun 1, 2026
Levon O Haodha Individual Corporate Director Apr 1, 2018
Regan Brown Individual Corporate Director Jan 1, 2019
Alita R Risinger Individual Corporate OfficerVice President, Cfo Jul 1, 2024
Oralee Schock Individual Corporate Director May 1, 2017
Pahoua Hoffman Individual Corporate Director May 1, 2023
Lisa Bjorkman Individual W-2 Managing EmployeeAd; Jul 27, 2015
Paula Kolbeck Individual Corporate Director Jan 1, 2020
Charles Williamson Individual Corporate Director Mar 1, 2020
Steven Long Individual Corporate Director Oct 1, 2022

Owners & managing parties with NPI records 5

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1174522239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVENUE SOUTH",
            "address_2": "MAILSTOP 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 NEAL AVE N",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550822177",
            "telephone_number": "651-430-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "LUNNEBORG",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-430-5207"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park Heights, MN

Sources for this page

Verify at the official NPI Registry.