Luther Park Health Center Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

770825 Issued in IA

Legal business name

LUTHER PARK HEALTH CENTER INC

Doing business as

Trinity Center at Luther Park

Practice address

1555 Hull Ave
Des Moines, IA 50316-1341

Phone

(515) 262-5639

Fax

(515) 266-2688

NPI assigned

Dec 19, 2006

Last updated

Mar 13, 2015By 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

Mr. Peter C. Wegner

Title

President

Phone

(515) 262-5639

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinity Center at Luther Park Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306900196. Details of each certification follow.

• CCN 165612 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165612

Legal name

LUTHER PARK HEALTH CENTER INC

Doing business as

TRINITY CENTER AT LUTHER PARK

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 20, 2015

Last certification

Oct 31, 2024

Beds

120

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

1555 Hull Ave
Des Moines, IA 50316-1341

Nursing home name

TRINITY CENTER AT LUTHER PARK

Listed as

Trinity Center at Luther ParkCCN 165612 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Mar 20, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120113.0 residents per day on average

Penalties (3 years)

1Fines totaling $162,205

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 48

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Patrick Oben Oben, MD

  • Internal Medicine Physician
  • Iowa City, IA
  • NPI 1255617700

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

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

• Patrick Oben Oben, MD

  • Internal Medicine Physician
  • Iowa City, IA
  • NPI 1255617700

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1306900196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 HULL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503161341",
            "telephone_number": "515-262-5639",
            "fax_number": "515-266-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 HULL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503161341",
            "telephone_number": "515-262-5639",
            "fax_number": "515-266-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHER PARK HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "WEGNER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-262-5639",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "770825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802306",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Center at Luther Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Joseph Lundahl, MSW
• Jerilyn S Lundberg, MD
• Matthew Craig Lundeen, M.S.
• Ingrid Lundgren, PA-C
• Katie Beth Lunning
• Lutheran Services in Iowa
• Lutheran Services in Iowa
• Lutheran Services in Iowa, Inc.
• Lincoln Daniel Lutrick
• Ellie Lutt

• Nursing Facility/Intermediate Care Facility in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Nursing Facility/Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.