NPIMap

Lakeview Memorial Hospital Association, Inc.

Organization Active NPI Home Health Agency · Oak Park Heights, MN

NPI 1174522239 · NPPES record last updated Aug 3, 2026

Key facts

NPI
1174522239
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC.
Practice address
5803 Neal Ave N
Oak Park Heights, MN 55082-2177
Phone
(651) 430-3320
NPI assigned
Jul 20, 2005
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 5

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

Other NPIs with the same Medicare PAC ID 4

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

Corporate family (same tax ID) 7

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

Facilities with the same owner 2

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

Practitioners 21

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

Affiliated clinicians 47

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

View all 47

Medicare Care Compare: Home health agency

Listed as
Lakeview Homecare CCN 248008
Overall star rating
★★★★★ 4.5 of 5
Ownership
Non-Profit
Certified
Oct 12, 1994
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

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
Corporation · Non-profit
Incorporated
Apr 11, 1958 in MN
Enrollment address
5803 Neal Ave N
Mailstop 19501a
Oak Park Heights, MN 55082-2177

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 Employee
MD;		 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 Officer
Vice 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 Employee
Ad;		 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

Medicare enrollment records

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

National Provider Directory

Tax ID family
Lakeview Community Pharmacy (8 organizations share this tax ID)

Locations

850 Churchill St W
Stillwater, MN 55082
Phone (651) 439-5330

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MN Yes
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 identifiers

IdentifierTypeStateIssuer
985845800MedicaidMN
43105000MedicaidWI

Other names

  • Lakeview Homecare Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 3, 2026.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "985845800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43105000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park Heights, MN

All providers in Oak Park Heights, MN · Home Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.