Active NPI
Lutheran Homes Society Inc.
Doing business as Lutheran Village at Wolf Creek
- Skilled Nursing Facility
- Holland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2148
- Legal business name
- LUTHERAN HOMES SOCIETY INC.
- Doing business as
- Lutheran Village at Wolf Creek
- Practice address
- 2001 Perrysburg Holland Rd
Holland, OH 43528-7005 - Phone
- (419) 861-5600
- NPI assigned
- Dec 22, 2010
- Last updated
- Jan 4, 2023
- 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
- Lorinda Schalk
- Title
- Cfo
- Phone
- (419) 861-4906
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 2148R | OH | |
| Skilled Nursing Facility | 314000000X | 2148 | OH | Primary |
Addresses
Primary practice location
2001 Perrysburg Holland Rd
Holland, OH 43528-7005
Mailing address
2001 Perrysburg Holland Rd
Holland, OH 43528-7005
Phone (419) 861-2233
Other names 1
- Lutheran Village at Wolf Creek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110208000661 | OH | Part A Provider - Skilled Nursing Facility | 3476733445 | Practice locations: Holland, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1285938829. Details of each certification follow.
Skilled nursing facility certification: CCN 366192
- Legal name
- LUTHERAN HOMES SOCIETY, INC.
- Doing business as
- LUTHERAN VILLAGE AT WOLF CREEK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 28, 2000
- Last certification
- Apr 13, 2023
- Beds
- 67
- Ownership / control type
- Corporation
- Multi-facility organization
- Genacross Lutheran Services
- Organization structure
- Corporation
- Incorporated
- Sep 3, 1997 in OH
- Enrollment address
- 2001 Perrysburg Holland Rd
Holland, OH 43528-7005 - Nursing home name
- LUTHERAN VILLAGE AT WOLFCREEK
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Lutheran Home
- Skilled Nursing Facility
- Napoleon, OH
- NPI 1588968143
3476733445
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lutheran Village at Wolfcreek
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 28, 2000
- Medicare certification status
- Active
- Certified beds
- 67
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 19
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 |
|---|---|---|---|
| William R Marshall | Corporate Officer | Feb 1, 2015 | |
| Corporate Director | Feb 1, 2015 | ||
| W-2 Managing Employee | Feb 1, 2015 | ||
| Stephen Bowe | Corporate Director | Apr 16, 2023 | |
| Ladina Suber | Operational/Managerial Control | Dec 15, 2021 | |
| Carrie Watkins | Operational/Managerial Control | Apr 29, 2019 | |
| Kevin Rahe | Corporate Director | Jul 1, 2021 | |
| Lee Wunschel | Corporate Officer | Jan 1, 2017 | |
| Corporate Director | Jan 1, 2017 | ||
| Jeffery Schulte | W-2 Managing Employee | Sep 16, 2007 | |
| Katie Miller | Operational/Managerial Control | Jun 22, 2022 | |
| Stephen Bauerle | Corporate Director | Apr 16, 2023 | |
| Anita Marshall | Corporate Director | Apr 7, 2022 | |
| Jeffery Barror | Operational/Managerial Control | Sep 14, 2021 | |
| Jeffrey Dempsey | Corporate Director | Apr 16, 2023 | |
| Lorinda Schalk | Corporate Officer | Jan 1, 2014 | |
| Corporate Director | Jan 1, 2014 | ||
| W-2 Managing Employee | Jan 1, 2014 | ||
| Gabriel Stoll | Operational/Managerial Control | Jul 1, 2015 | |
| James Dumke | W-2 Managing Employee | Sep 24, 2001 | |
| Melissa Warner | Corporate Officer | Apr 16, 2023 | |
| Corporate Director | Apr 7, 2022 | ||
| Paul Sieben | Corporate Director | Jul 1, 2021 | |
| Cheryl Moya | Operational/Managerial Control | Jun 23, 2015 | |
| Mark Synder | Corporate Director | Apr 7, 2022 |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Internal Medicine) Physician
- Toledo, OH
- NPI 1336316306
-
- Family Nurse Practitioner
- Toledo, OH
- NPI 1023016854
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Toledo, OH
- NPI 1336316306
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672790400000",
"number": "1285938829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 PERRYSBURG HOLLAND RD",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435287005",
"telephone_number": "419-861-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 PERRYSBURG HOLLAND RD",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435287005",
"telephone_number": "419-861-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN HOMES SOCIETY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-22",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A",
"authorized_official_last_name": "SCHALK",
"authorized_official_first_name": "LORINDA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "419-861-4906"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OH",
"license": "2148R",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "2148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lutheran Village at Wolf Creek",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lutheran Village at Wolf Creek",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Holland, OH
- Gary Scott Louderback Jr., DDS
- Alicia Lovett
- Lucas County Auditor (Toledo-Lucas County Health Center)
- Lucas County Auditor
- Marchell Luckett
- Lutheran Homes Society Inc.
- Lutheran Homes Society Inc. (Lutheran Village at Wolf Creek)
- Lutheran Homes Society, Inc. (Genacross Lutheran Services Family and Youth)
- Lutheran Orphans and Old Folks Home at Wolf Creek (Lutheran Village at Wolf Creek)
- Sarah Elizabeth Lyczkowski, CDCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.