Faith Lutheran Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N-081 Issued in IA

Legal business name

FAITH LUTHERAN HOME

Practice address

914 Davidson Dr
Osage, IA 50461-1475

Phone

(641) 732-5941

NPI assigned

Jun 9, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ladonna M Gunderson

Title

Administrator

Phone

(641) 732-5511

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306840152. Details of each certification follow.

• CCN 165433 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165433

Legal name

FAITH LUTHERAN HOME

Doing business as

FAITH LUTHERAN HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 2002

Last certification

Sep 5, 2024

Beds

50

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Enrollment address

914 Davidson Dr
Osage, IA 50461-1475

Nursing home name

FAITH LUTHERAN HOME

Listed as

Faith Lutheran HomeCCN 165433 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Jun 1, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5040.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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.

• Faith Home Assisted Living Corporation

  • Assisted Living Facility
  • Osage, IA
  • NPI 1225224413
  NPPES parent name

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Benson Hargens, MD

  • Family Medicine Physician
  • Osage, IA
  • NPI 1417330069

  Nursing home

  Care Compare affiliation
• Jeffrey D Nasstrom, DO

  • Family Medicine Physician
  • Osage, IA
  • NPI 1710079322

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306840152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 DAVIDSON DR",
            "city": "OSAGE",
            "state": "IA",
            "postal_code": "504611475",
            "telephone_number": "641-732-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 DAVIDSON DR",
            "city": "OSAGE",
            "state": "IA",
            "postal_code": "504611475",
            "telephone_number": "641-732-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH LUTHERAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUNDERSON",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-732-5511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N-081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801233",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IOWA",
            "identifier": "65433",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Bridget Byrnes, ARNP
• Jessica Lea Clayton, RN
• Comprehensive Systems, Inc
• Draayer Chiropractic, Inc.
• Faith Home Assisted Living Corporation
• Gerdts Podiatric LLC
• Mark J Haganman, DO
• Benson Hargens, MD
• Mary Helweg-Herdliska, PTA
• Shannon Henaman-Thompson, LPN

• Skilled Nursing Facility in Osage, IA
• Providers in Osage, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.