Organization Active NPI

Martin Luther Home Corporation

Doing business as Grand Meadows

  • Skilled Nursing Facility
  • Asbury, IA
National Provider Identifier
1396277273
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
310452 Issued in IA
Legal business name
MARTIN LUTHER HOME CORPORATION
Doing business as
Grand Meadows
Luther Manor Communities
Practice address
5300 Grand Meadow Dr.
Asbury, IA 52002-9999
Phone
(563) 557-7662
NPI assigned
Mar 30, 2017
Last updated
Mar 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Janet Warren
Title
Executive Director
Phone
(563) 588-1413

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 310452 IA
Nursing Facility/Intermediate Care Facility 313M00000X 310452 IA
Skilled Nursing Facility 314000000X 310452 IA Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

5300 Grand Meadow Dr.
Asbury, IA 52002-9999

Mailing address

3131 Hillcrest Rd
Dubuque, IA 52001-3908
Phone (563) 588-1413

Other names 2

  • Grand Meadows Doing business as
  • Luther Manor Communities Doing business as

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
16D2192744Grand Meadows Assisted Living5300 Grand Meadows Drive, Asbury, IA 52002Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1396277273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 HILLCREST RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013908",
            "telephone_number": "563-588-1413",
            "fax_number": "563-588-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 GRAND MEADOW DR.",
            "city": "ASBURY",
            "state": "IA",
            "postal_code": "520029999",
            "telephone_number": "563-557-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LUTHER HOME CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "563-588-1413"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "310452",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "310452",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "310452",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Meadows",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luther Manor Communities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asbury, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.