Organization Active NPI

The Lutheran Home, Inc.

  • Skilled Nursing Facility
  • Wauwatosa, WI
National Provider Identifier
1285633743
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
293 Issued in WI
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

Updated by the provider on Oct 29, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
20129800MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 HomeCCN 525545
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160127.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Lindsay Pingel Individual Corporate DirectorAdministrator Jul 21, 2025
Operational/Managerial Control Jul 21, 2025
Adp of the SNF Jul 21, 2025
Randy Raasch Individual Corporate DirectorBoard Member Apr 1, 2023
Managing Control - Governing BodyBoard Member Apr 1, 2023
Henrik Clausen Individual Corporate OfficerCfo Nov 17, 2021
Operational/Managerial Control Nov 17, 2021
Adp of the SNF Nov 17, 2021
Jim Denor Individual Corporate DirectorBoard Member Apr 1, 2021
Managing Control - Governing BodyBoard Member Apr 1, 2021
Kathryn Cavers Individual Corporate OfficerCeo Feb 1, 2012
Operational/Managerial Control Feb 1, 2012
Adp of the SNF Feb 1, 2012
Mike Hodan Individual Corporate DirectorBoard Member Apr 1, 2023
Managing Control - Governing BodyBoard Member Apr 1, 2023
Paul Rosenberg Individual Corporate DirectorBoard Member Oct 1, 2021
Managing Control - Governing Body Oct 1, 2021
Wipfli LLP Organization, Wausau, WI Adp of the SNF Apr 29, 2014
Lindsey Kriete Individual Corporate DirectorBoard Member Apr 1, 2023
Managing Control - Governing BodyBoard Member Apr 1, 2023
Carey Swartz Bartlett Individual Operational/Managerial Control Apr 14, 2014
Adp of the SNF Apr 14, 2014
Tim Reardon Individual Corporate DirectorBoard Member Oct 1, 2019
Managing Control - Governing Body Oct 1, 2019
Jayne Tettenborn Individual Operational/Managerial Control Jun 14, 2021
Adp of the SNF Jun 14, 2021
Gary Mueller Individual Corporate DirectorBoard Member Apr 1, 2021
Managing Control - Governing BodyBoard Member Apr 1, 2021
Seasons Hospice & Palliative Care of Wisconsin, LLC Organization, Dallas, TX Adp of the SNF Jul 15, 2025
David Sandstrom Individual Corporate OfficerVice Chair Oct 1, 2021
Corporate DirectorBoard Vice Chair Oct 1, 2021
Managing Control - Governing BodyVice Chair Oct 1, 2021
Katie Triska Wiemer Individual Corporate DirectorBoard Member Apr 1, 2023
Managing Control - Governing BodyBoard Member Apr 1, 2023
Harriet Pedersen Individual Corporate DirectorBoard Member Apr 1, 2018
Managing Control - Governing BodyBoard Member Apr 1, 2018
Diane L Ehn Individual Corporate OfficerBoard Secretary Oct 1, 2021
Corporate DirectorBoard Secretary Oct 1, 2021
Managing Control - Governing BodySecretary Oct 1, 2021
Ben Kebbekus Individual Corporate DirectorBoard Member Apr 1, 2021
Managing Control - Governing BodyBoard Member Apr 1, 2021
Kristina Surma Individual Corporate OfficerVice Chair Oct 1, 2021
Corporate DirectorVice Chair Oct 1, 2021
Managing Control - Governing BodyVice Chair Oct 1, 2021
Elizabeth a Bukowy Individual 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.

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.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "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

Verify at the official NPI Registry.