St. Luke Lutheran Home for the Aging

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

001252H Issued in OH

Legal business name

ST. LUKE LUTHERAN HOME FOR THE AGING

Practice address

220 Applegrove St. NE
North Canton, OH 44720

Phone

(330) 499-8341

Fax

(330) 497-6141

NPI assigned

Oct 2, 2006

Last updated

Dec 30, 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

Joyce L Mohler

Title

Cfo

Phone

(330) 499-8341

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336232909. Details of each certification follow.

• CCN 365521 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365521

Legal name

ST. LUKE LUTHERAN HOME FOR THE AGING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 12, 1980

Last certification

Jan 30, 2023

Beds

166

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Mar 6, 1959 in OH

Enrollment address

220 Applegrove St NE
North Canton, OH 44720-1610

Nursing home name

SAINT LUKE LUTHERAN HOME

Listed as

Saint Luke Lutheran HomeCCN 365521 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jun 12, 1980

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

166121.0 residents per day on average

Special focus status

SFF Candidate

Penalties (3 years)

2Fines totaling $97,793

Processed by Care Compare on Aug 1, 2026.

Tax ID family

St Luke Lutheran Home for the Aging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Luke Lutheran Home for the Aging

  • Assisted Living Facility
  • North Canton, OH
  • NPI 1184211674
  NPD tax ID

All disclosed owners & managing parties 7

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.

• St. Luke Lutheran Home for the Aging

  • Assisted Living Facility
  • North Canton, OH
  • NPI 1184211674
  NPPES parent name

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.

• Kenneth J Biros, DO

  • Family Medicine Physician
  • Canal Fulton, OH
  • NPI 1407819600
  NPD (past)
• James Franz, DO

  • Family Medicine Physician
  • Canton, OH
  • NPI 1467896100
  NPD (past)

Affiliated clinicians 2

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

• Kenneth J Biros, DO

  • Family Medicine Physician
  • Canal Fulton, OH
  • NPI 1407819600

  Nursing home

  Care Compare affiliation
• James Franz, DO

  • Family Medicine Physician
  • Canton, OH
  • NPI 1467896100

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1336232909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 APPLEGROVE ST NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201610",
            "telephone_number": "330-499-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 APPLEGROVE ST. NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "44720",
            "telephone_number": "330-499-8341",
            "fax_number": "330-497-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE LUTHERAN HOME FOR THE AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "MOHLER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-499-8341"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "001252H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7648808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari Sprout, LSW
• Cody Spry, DC
• Corey P St Clair
• Danielle S St Clair, LPTA
• St. Luke Lutheran Home for the Aging
• Lauren Stacy, OTR/L
• Noah James Stalcup
• Christine Staley, COTA/L
• Heather J Stansberry, COTA/L
• Karen Starcher, COTA/L

• Skilled Nursing Facility in North Canton, OH
• Providers in North Canton, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.