Organization Active NPI

American Lutheran Homes, Inc.

  • Skilled Nursing Facility
  • Mondovi, WI
National Provider Identifier
1215978697
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3223 Issued in WI
Legal business name
AMERICAN LUTHERAN HOMES, INC.
Practice address
200 Memorial Dr
Mondovi, WI 54755-1325
Phone
(715) 926-4962
Fax
(715) 926-3933
NPI assigned
Jun 9, 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 3223 WI Primary

Addresses

Primary practice location

200 Memorial Dr
Mondovi, WI 54755-1325

Mailing address

822 Porter Ave
Eau Claire, WI 54701-3813
Phone (715) 832-3007

Other identifiers 1

IdentifierTypeStateIssuer
20179700MedicaidWI

Other names 1

  • American Lutheran Homes - Mondovi Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071008000068 WI Part A Provider - Skilled Nursing Facility 5799696654 Practice locations: Mondovi, WI

Skilled nursing facility certification: CCN 525383

Legal name
AMERICAN LUTHERAN HOMES, INC.
Doing business as
AMERICAN LUTHERAN HOMES - MONDOVI
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1985
Last certification
Mar 12, 2025
Beds
35
Ownership / control type
Church Related
Multi-facility organization
American Lutheran Homes, Inc
Organization structure
CorporationNon-profit
Incorporated
Jun 9, 1961 in WI
Enrollment address
200 Memorial Drive
Mondovi, WI 54755
Nursing home name
AMERICAN LUTHERAN HOME-MONDOVI

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-MondoviCCN 525383
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Apr 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3520.6 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
52D0674269American Lutheran Homes Inc200 Memorial Drive, Mondovi, WI 54755Certificate 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.

Ownership & related parties

All disclosed owners & managing parties 20

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
Organization, Wauwatosa, WI LLC Adp of the SNF Mar 18, 2025
Tonya Lisowski Individual Operational/Managerial Control Jul 12, 2016
Adp of the SNF Jul 12, 2016
Individual Adp of the SNF Jan 1, 2023
Linda Larson Individual Corporate DirectorBoard Member Jan 28, 2025
Chelsea Tande Individual Operational/Managerial Control Apr 26, 2022
Organization, Madison, WI LLC Adp of the SNF Apr 1, 2025
Organization, Eau Claire, WI Financial institution Adp of the SNF Mar 18, 2025
Anita Reid Individual Corporate DirectorBoard Member May 30, 2023
Jenny Lilyquist Individual Operational/Managerial Control Jan 26, 2017
Adp of the SNF Jan 26, 2017
Individual Adp of the SNF Jan 1, 2023
Trevor Rich Individual Operational/Managerial Control Dec 26, 2024
Adp of the SNF Dec 26, 2024
Amy K Duhr Individual Corporate OfficerChief Executive Officer Jan 17, 2020
Operational/Managerial ControlCeo Jan 17, 2020
Adp of the SNF Jan 17, 2020
Joanne Erickson Individual Corporate DirectorBoard Member May 30, 2023
Jamie Larson Individual Corporate OfficerChief Operating Officer Aug 24, 2021
Operational/Managerial Control Aug 24, 2021
Adp of the SNF Aug 24, 2021
David Larson Individual Corporate DirectorBoard Member May 30, 2021
Rita Lee Individual Corporate DirectorBoard Member May 30, 2018
Grace Lutheran Foundation, Inc. Organization, Eau Claire, WI Non-profit Operational/Managerial Control Jan 1, 2000
Adp of the SNF Mar 4, 2025
Kevin Hungerford Individual Operational/Managerial Control Jun 1, 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 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1215978697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PORTER AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013813",
            "telephone_number": "715-832-3007",
            "fax_number": "715-832-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL DR",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551325",
            "telephone_number": "715-926-4962",
            "fax_number": "715-926-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN LUTHERAN HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "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": "3223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20179700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Lutheran Homes - Mondovi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mondovi, WI

Sources for this page

Verify at the official NPI Registry.