Organization Active NPI

St Luke Homes & Services Inc

  • Nursing Facility/Intermediate Care Facility
  • Spencer, IA
National Provider Identifier
1194712760
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0803775 Issued in IA
Legal business name
ST LUKE HOMES & SERVICES INC
Practice address
1301 Saint Luke Dr
Spencer, IA 51301-6043
Phone
(712) 262-5931
Fax
(712) 262-4743
NPI assigned
Sep 29, 2005
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Mr. Alan B Campbell
Title
Ceo/Administrator
Phone
(712) 262-5931

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0158725 IA
Nursing Facility/Intermediate Care Facility 313M00000X 0803775 IA Primary
Skilled Nursing Facility 314000000X 165484 IA

Addresses

Primary practice location

1301 Saint Luke Dr
Spencer, IA 51301-6043

Mailing address

1301 Saint Luke Dr
Spencer, IA 51301-6043
Phone (712) 262-5931

Other identifiers 1

IdentifierTypeStateIssuer
0803775MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021217000011 IA Part A Provider - Skilled Nursing Facility 4789592841 Practice locations: Spencer, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194712760. Details of each certification follow.

Skilled nursing facility certification: CCN 165484

Legal name
ST LUKE HOMES & SERVICES INC
Doing business as
ST LUKE LUTHERAN NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 7, 2003
Last certification
Aug 22, 2024
Beds
79
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
1301 Saint Luke Dr
Spencer, IA 51301-6043
Nursing home name
ST LUKE LUTHERAN NURSING HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Luke Lutheran Nursing HomeCCN 165484 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 7, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7972.5 residents per day on average
Penalties (3 years)
3Fines totaling $90,076

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1301 Saint Luke Dr
Spencer, IA 51301
Phone (712) 262-5931

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Nancy Mills Individual Operational/Managerial Control Jul 28, 2023
Gary Halverson Individual Corporate DirectorBoard Member Mar 1, 2017
Ken Nelson Individual Operational/Managerial Control Aug 16, 2021
Adp of the SNF Oct 2, 2025
Dean Stein Individual Operational/Managerial ControlMaintenace Director Aug 8, 2019
Katie Chindlund Individual Operational/Managerial Control Oct 22, 2018
Thrifty Drug Stores Inc Organization, Spencer, IA Corporation, For-profit Adp of the SNF Jan 1, 2025
Mary Hughes Individual Operational/Managerial Control Apr 28, 1992
Amanda Klein Individual Operational/Managerial Control Oct 20, 2010
Jerry Clausen Individual Corporate DirectorDirector Mar 1, 2015
GCS Tech Inc Organization, Spencer, IA Corporation, Consulting firm, For-profit Adp of the SNF Jan 1, 2025
Kenneth R Hunziker Individual Operational/Managerial Control Jan 19, 2010
Adp of the SNF Oct 2, 2025
Deborah Sue Mechler Individual Corporate OfficerPresident Mar 1, 2015
Dean H Pingel Individual Corporate DirectorDirector Mar 1, 2017
Cattail Inc Organization, Muscatine, IA Corporation, For-profit Adp of the SNF Oct 1, 2024
BCG Holdings Inc Organization, Waukee, IA Corporation, For-profit Adp of the SNF Oct 1, 2024
Iowa Health Care Association Organization, West Des Moines, IA Corporation, Non-profit Adp of the SNF Oct 1, 2024
David a Hoye Individual Corporate DirectorDirector Apr 4, 2023
Doug Kading Individual Corporate DirectorDirector Apr 4, 2023
Ecsi Inc Organization, West Des Moines, IA Corporation, For-profit Adp of the SNF Oct 1, 2024
Sandi Schmidt Individual Corporate OfficerDirector Mar 1, 2016
Jane Kruse Individual Corporate OfficerVice President Mar 1, 2018
Millennium Rehab & Consulting Inc Organization, Des Moines, IA Corporation, Consulting firm, For-profit Adp of the SNF Jun 30, 2023
Jenna Jacobsen Individual Adp of the SNF Jan 1, 2025
Cattail BCG LLC Organization, Muscatine, IA LLC, For-profit Adp of the SNF Oct 1, 2024
Mike Koenecke Individual Corporate DirectorDirector Apr 4, 2023
Winther Stave & Co LLP Organization, Spencer, IA Corporation, For-profit Adp of the SNF Oct 17, 2012
Brighton Consulting Group LLC Organization, Urbandale, IA LLC, Consulting firm Adp of the SNF Oct 1, 2024

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1194712760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SAINT LUKE DR",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513016043",
            "telephone_number": "712-262-5931",
            "fax_number": "712-262-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SAINT LUKE DR",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513016043",
            "telephone_number": "712-262-5931",
            "fax_number": "712-262-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE HOMES & SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "712-262-5931",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "0158725",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "0803775",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "165484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803775",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

Verify at the official NPI Registry.