Active NPI
St Luke Homes & Services Inc
- Nursing Facility/Intermediate Care Facility
- Spencer, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 0803775
- 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, 2013
- 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
- Mr. Alan B Campbell
- Title
- Ceo/Administrator
- Phone
- (712) 262-5931
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0803775 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 7, 2003
- Medicare certification status
- Active
- Certified beds
- 79
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nancy Mills | Operational/Managerial Control | Jul 28, 2023 | |
| Gary Halverson | Corporate Director | Mar 1, 2017 | |
| Ken Nelson | Operational/Managerial Control | Aug 16, 2021 | |
| Adp of the SNF | Oct 2, 2025 | ||
| Dean Stein | Operational/Managerial Control | Aug 8, 2019 | |
| Katie Chindlund | Operational/Managerial Control | Oct 22, 2018 | |
| Thrifty Drug Stores Inc | Adp of the SNF | Jan 1, 2025 | |
| Mary Hughes | Operational/Managerial Control | Apr 28, 1992 | |
| Amanda Klein | Operational/Managerial Control | Oct 20, 2010 | |
| Jerry Clausen | Corporate Director | Mar 1, 2015 | |
| GCS Tech Inc | Adp of the SNF | Jan 1, 2025 | |
| Kenneth R Hunziker | Operational/Managerial Control | Jan 19, 2010 | |
| Adp of the SNF | Oct 2, 2025 | ||
| Deborah Sue Mechler | Corporate Officer | Mar 1, 2015 | |
| Dean H Pingel | Corporate Director | Mar 1, 2017 | |
| Cattail Inc | Adp of the SNF | Oct 1, 2024 | |
| BCG Holdings Inc | Adp of the SNF | Oct 1, 2024 | |
| Iowa Health Care Association | Adp of the SNF | Oct 1, 2024 | |
| David a Hoye | Corporate Director | Apr 4, 2023 | |
| Doug Kading | Corporate Director | Apr 4, 2023 | |
| Ecsi Inc | Adp of the SNF | Oct 1, 2024 | |
| Sandi Schmidt | Corporate Officer | Mar 1, 2016 | |
| Jane Kruse | Corporate Officer | Mar 1, 2018 | |
| Millennium Rehab & Consulting Inc | Adp of the SNF | Jun 30, 2023 | |
| Jenna Jacobsen | Adp of the SNF | Jan 1, 2025 | |
| Cattail BCG LLC | Adp of the SNF | Oct 1, 2024 | |
| Mike Koenecke | Corporate Director | Apr 4, 2023 | |
| Winther Stave & Co LLP | Adp of the SNF | Oct 17, 2012 | |
| Brighton Consulting Group LLC | 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.
-
dba Millennium Therapy
- Physical Therapist
- Des Moines, IA
- NPI 1255385852
Adp of the SNF
-
dba Millennium Therapy
- Physical Therapist
- Independence, IA
- NPI 1336193986
Adp of the SNF
-
dba Millennium Therapy
- Physical Therapist
- Fort Dodge, IA
- NPI 1376597708
Adp of the SNF
Practitioners & affiliated clinicians
Affiliated clinicians 15
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": "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
- Spencer Psychiatric & Counseling Services LLC
- Spencer Surgery and Laser Center, LLC
- Spencer Total Family Eyecare PC
- Spencer Total Family Eyecare, P.C.
- Morgan Elizabeth Spielman
- Stanley Family Chiropractic PC
- Brent Ray Stanley, D.C.
- Danielle Stelpflug
- Steven a. Moore (dba lakes oxygen and respiratory)
- Still Waters Recovery, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.