Organization Active NPI

Cedar Falls Lutheran Home

  • Skilled Nursing Facility
  • Cedar Falls, IA
National Provider Identifier
1376686766
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
070154 Issued in IA
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 LifescapesCCN 165465 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
112101.7 residents per day on average
Penalties (3 years)
1Fines totaling $132,074

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0907423Cedar Falls Lutheran Home7511 University Avenue, Cedar Falls, IA 50613Certificate of waiverAug 9, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Diane Kestner Individual Managing Control - Governing BodyTreasurer May 13, 2025
Erin M O'Neill-Gleason Individual Operational/Managerial ControlDirector of Operations Dec 1, 2017
Ron Spears Individual Managing Control - Governing Body May 13, 2025
Amy Curley Individual Managing Control - Governing Body May 13, 2025
Beverly Lupkes Individual Managing Control - Governing Body May 13, 2025
Pradeep M Ramesh Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF May 28, 2025
Annelie Heinen Individual Managing Control - Governing BodyPresident May 13, 2025
Crystal Jasper Individual Operational/Managerial Control Jul 27, 2016
Adp of the SNF May 14, 2025
Dawna Scheff Individual Operational/Managerial Control Jun 14, 2022
Shelleen Hatch Individual Operational/Managerial Control May 9, 2025
Adp of the SNF Sep 4, 1992
Jeff Fishel Individual Managing Control - Governing BodySecretary May 13, 2025
Darrin Gillett Individual Managing Control - Governing Body May 13, 2025
Drew McHolm Individual Managing Control - Governing BodyVice President May 13, 2025
Cedar Falls Lutheran Home Organization, Cedar Falls, IA Non-profit 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.

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.

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.

Affiliated clinicians 5

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

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

Sources for this page

Verify at the official NPI Registry.