Active NPI
Cedar Falls Lutheran Home
- Skilled Nursing Facility
- Cedar Falls, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 070154
- Legal business name
- CEDAR FALLS LUTHERAN HOME
- Practice address
- 7511 University Ave
Cedar Falls, IA 50613-5027 - Phone
- (319) 268-0401
- Fax
- (314) 268-0040
- NPI assigned
- Feb 15, 2007
- Last updated
- Nov 3, 2022
- 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
- Mrs. Kimberly Ann Charlton
- Title
- Medical Records Specialist
- Phone
- (319) 553-2211
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NU | ||
| Skilled Nursing Facility | 314000000X | 070154 | IA | Primary |
Addresses
Primary practice location
7511 University Ave
Cedar Falls, IA 50613-5027
Mailing address
7511 University Avenue
Cedar Falls, IA 50613-5027
Phone (319) 268-0401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110322000075 | IA | Part A Provider - Skilled Nursing Facility | 9739362252 | Practice locations: Cedar Falls, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1376686766. Details of each certification follow.
Skilled nursing facility certification: CCN 165465
- Legal name
- CEDAR FALLS LUTHERAN HOME
- Doing business as
- NEWALDAYA LIFESCAPES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 2002
- Last certification
- May 22, 2025
- Beds
- 112
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 7511 University Ave
Cedar Falls, IA 50613-5027 - Nursing home name
- NEWALDAYA LIFESCAPES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Newaldaya Lifescapes
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 2002
- Medicare certification status
- Active
- Certified beds
- 112
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0907423 | Cedar Falls Lutheran Home | Certificate of waiver | Aug 9, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
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 |
|---|---|---|---|
| Diane Kestner | Managing Control - Governing Body | May 13, 2025 | |
| Erin M O'Neill-Gleason | Operational/Managerial Control | Dec 1, 2017 | |
| Ron Spears | Managing Control - Governing Body | May 13, 2025 | |
| Amy Curley | Managing Control - Governing Body | May 13, 2025 | |
| Beverly Lupkes | Managing Control - Governing Body | May 13, 2025 | |
| Pradeep M Ramesh | Operational/Managerial Control | Jul 1, 2023 | |
| Adp of the SNF | May 28, 2025 | ||
| Annelie Heinen | Managing Control - Governing Body | May 13, 2025 | |
| Crystal Jasper | Operational/Managerial Control | Jul 27, 2016 | |
| Adp of the SNF | May 14, 2025 | ||
| Dawna Scheff | Operational/Managerial Control | Jun 14, 2022 | |
| Shelleen Hatch | Operational/Managerial Control | May 9, 2025 | |
| Adp of the SNF | Sep 4, 1992 | ||
| Jeff Fishel | Managing Control - Governing Body | May 13, 2025 | |
| Darrin Gillett | Managing Control - Governing Body | May 13, 2025 | |
| Drew McHolm | Managing Control - Governing Body | May 13, 2025 | |
| Cedar Falls Lutheran Home | 5% Or Greater Direct Ownership Interest | Mar 15, 2015 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Waterloo, IA
- NPI 1053349167
Adp of the SNF, Operational/Managerial Control
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.
-
dba Newaldaya Outpatient Therapy
- Physical Therapy Clinic/Center
- Cedar Falls, IA
- NPI 1679952063
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Cedar Falls, IA
- NPI 1932456035
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Acute Care Nurse Practitioner
- Waterloo, IA
- NPI 1952974925
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1376686766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7511 UNIVERSITY AVENUE",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506135027",
"telephone_number": "319-268-0401",
"fax_number": "319-268-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7511 UNIVERSITY AVE",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506135027",
"telephone_number": "319-268-0401",
"fax_number": "314-268-0040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR FALLS LUTHERAN HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "CHARLTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "MEDICAL RECORDS SPECIALIST",
"authorized_official_telephone_number": "319-553-2211",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "070154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Falls, IA
- Martha J Caster, LISW
- Cedar Circle Mental Health and Wellness PC
- Cedar Falls Community School District
- Cedar Falls Counseling Associates
- Cedar Falls Emergency Physicians, LLC
- Cedar Falls Opco LLC (Cedar Falls Care Center)
- Cedar Falls Pediatrics LLC
- Cedar River Family Counseling
- Cedar Valley Chiropractic LLC
- Cedar Valley Counseling Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.