Active NPI
The Lutheran Home, Inc.
- Skilled Nursing Facility
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 293
- Legal business name
- THE LUTHERAN HOME, INC.
- Practice address
- 7500 W North Ave
Wauwatosa, WI 53213-1717 - Phone
- (414) 258-6170
- Fax
- (414) 777-1723
- NPI assigned
- Jul 18, 2005
- 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
- Kathryn Cavers
- Title
- Ceo/President
- Phone
- (414) 258-6171
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Skilled Nursing Facility | 314000000X | 293 | WI | Primary |
Addresses
Primary practice location
7500 W North Ave
Wauwatosa, WI 53213-1717
Mailing address
7500 W North Ave
Wauwatosa, WI 53213-1717
Phone (414) 258-6170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20129800 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100629000732 | WI | Part A Provider - Skilled Nursing Facility | 0143351569 | Practice locations: Wauwatosa, WI |
Skilled nursing facility certification: CCN 525545
- Legal name
- THE LUTHERAN HOME, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 1994
- Last certification
- Mar 14, 2024
- Beds
- 160
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 7500 W North Ave
Wauwatosa, WI 53213-1717 - Nursing home name
- LUTHERAN HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lutheran Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Sep 1, 1994
- Medicare certification status
- Active
- Certified beds
- 160
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 21
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 |
|---|---|---|---|
| Lindsay Pingel | Corporate Director | Jul 21, 2025 | |
| Operational/Managerial Control | Jul 21, 2025 | ||
| Adp of the SNF | Jul 21, 2025 | ||
| Randy Raasch | Corporate Director | Apr 1, 2023 | |
| Managing Control - Governing Body | Apr 1, 2023 | ||
| Henrik Clausen | Corporate Officer | Nov 17, 2021 | |
| Operational/Managerial Control | Nov 17, 2021 | ||
| Adp of the SNF | Nov 17, 2021 | ||
| Jim Denor | Corporate Director | Apr 1, 2021 | |
| Managing Control - Governing Body | Apr 1, 2021 | ||
| Kathryn Cavers | Corporate Officer | Feb 1, 2012 | |
| Operational/Managerial Control | Feb 1, 2012 | ||
| Adp of the SNF | Feb 1, 2012 | ||
| Mike Hodan | Corporate Director | Apr 1, 2023 | |
| Managing Control - Governing Body | Apr 1, 2023 | ||
| Paul Rosenberg | Corporate Director | Oct 1, 2021 | |
| Managing Control - Governing Body | Oct 1, 2021 | ||
| Wipfli LLP | Adp of the SNF | Apr 29, 2014 | |
| Lindsey Kriete | Corporate Director | Apr 1, 2023 | |
| Managing Control - Governing Body | Apr 1, 2023 | ||
| Carey Swartz Bartlett | Operational/Managerial Control | Apr 14, 2014 | |
| Adp of the SNF | Apr 14, 2014 | ||
| Tim Reardon | Corporate Director | Oct 1, 2019 | |
| Managing Control - Governing Body | Oct 1, 2019 | ||
| Jayne Tettenborn | Operational/Managerial Control | Jun 14, 2021 | |
| Adp of the SNF | Jun 14, 2021 | ||
| Gary Mueller | Corporate Director | Apr 1, 2021 | |
| Managing Control - Governing Body | Apr 1, 2021 | ||
| Seasons Hospice & Palliative Care of Wisconsin, LLC | Adp of the SNF | Jul 15, 2025 | |
| David Sandstrom | Corporate Officer | Oct 1, 2021 | |
| Corporate Director | Oct 1, 2021 | ||
| Managing Control - Governing Body | Oct 1, 2021 | ||
| Katie Triska Wiemer | Corporate Director | Apr 1, 2023 | |
| Managing Control - Governing Body | Apr 1, 2023 | ||
| Harriet Pedersen | Corporate Director | Apr 1, 2018 | |
| Managing Control - Governing Body | Apr 1, 2018 | ||
| Diane L Ehn | Corporate Officer | Oct 1, 2021 | |
| Corporate Director | Oct 1, 2021 | ||
| Managing Control - Governing Body | Oct 1, 2021 | ||
| Ben Kebbekus | Corporate Director | Apr 1, 2021 | |
| Managing Control - Governing Body | Apr 1, 2021 | ||
| Kristina Surma | Corporate Officer | Oct 1, 2021 | |
| Corporate Director | Oct 1, 2021 | ||
| Managing Control - Governing Body | Oct 1, 2021 | ||
| Elizabeth a Bukowy | Operational/Managerial Control | May 20, 2014 | |
| Adp of the SNF | May 20, 2014 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Milwaukee, WI
- NPI 1063839397
Adp of the SNF, Operational/Managerial Control
-
- Community Based Hospice Care Agency
- West Allis, WI
- NPI 1407853112
Adp of the SNF
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Skilled Nursing Facility
- River Falls, WI
- NPI 1962524272
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Milwaukee, WI
- NPI 1063839397
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1285633743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 W NORTH AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131717",
"telephone_number": "414-258-6170",
"fax_number": "414-777-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 W NORTH AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131717",
"telephone_number": "414-258-6170",
"fax_number": "414-777-1723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE LUTHERAN HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-18",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "CAVERS",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "414-258-6171"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WI",
"license": "293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20129800",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.