NPIMap

Organization Active NPI

Lutheran Home for the Aged

  • Skilled Nursing Facility
  • Arlington Heights, IL
National Provider Identifier
1487641064
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1666453 Issued in IL
Legal business name
LUTHERAN HOME FOR THE AGED
Practice address
800 W Oakton St
Arlington Heights, IL 60004-4602
Phone
(847) 253-3710
Fax
(847) 368-7305
NPI assigned
Sep 29, 2005
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Elaine Alcantara
Title
Director
Phone
(773) 732-8208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1666453 IL Primary

Addresses

Primary practice location

800 W Oakton St
Arlington Heights, IL 60004-4602

Mailing address

800 W Oakton St
Arlington Heights, IL 60004-4602
Phone (847) 253-3710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070507000005 IL Part A Provider - Skilled Nursing Facility 0446229876 Practice locations: Arlington Heights, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487641064. Details of each certification follow.

Skilled nursing facility certification: CCN 145739

Legal name
LUTHERAN HOME FOR THE AGED
Doing business as
THOMAS CUISINE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 17, 1992
Last certification
Nov 21, 2024
Beds
354
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Lutheran Life Communities
Organization structure
CorporationNon-profit
Incorporated
Aug 9, 1892 in IL
Enrollment address
800W Oakton St
Arlington Heights, IL 60004-4602
Nursing home name
LUTHERAN HOME FOR THE AGED

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lutheran Home for the AgedCCN 145739 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 17, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
354223.8 residents per day on average
Penalties (3 years)
6Fines totaling $144,945

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
14D0042244Lutheran Home & Service for the Aged800 W Oakton St, Arlington Heights, IL 60004Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

3150 W Salt Creek Ln
Arlington Heights, IL 60005
Phone (224) 735-4024

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Lutheran Life Communities Organization, Arlington Heights, IL Corporation, Non-profit Adp of the SNF Dec 17, 1992
Individual Adp of the SNF Sep 14, 2020
Dawn D St Clair-Davis Individual Operational/Managerial Control Mar 14, 2025
Adp of the SNF Mar 14, 2025
Individual Adp of the SNF Oct 3, 2022
Michael Renetzky Individual Corporate OfficerChair Oct 1, 2003
Adp of the SNF Oct 1, 2003
Terri Black Individual Corporate DirectorVP of Financial Operations May 1, 2023 5%
Adp of the SNF May 1, 2023
Old National Bank Organization, Evansville, IN Corporation, Financial institution Adp of the SNF Dec 17, 1992
Thomas Management LLC Organization, Meridian, ID LLC Operational/Managerial Control Jan 20, 2022
Adp of the SNF Nov 24, 2025
Lutheran Life Ministries Organization, Arlington Heights, IL Corporation, Non-profit Adp of the SNF Dec 1, 2012
Select Rehabilitation, LLC Organization, Glenview, IL LLC Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 15, 2026
Leo Kanev Individual Operational/Managerial Control Jan 1, 2022
Adp of the SNF Jan 1, 2022
Richter and Associates Organization, Twinsburg, OH Corporation, Management services company, Consulting firm Operational/Managerial Control Nov 1, 2022
Adp of the SNF Jul 7, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1487641064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W OAKTON ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044602",
            "telephone_number": "847-253-3710",
            "fax_number": "847-368-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W OAKTON ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044602",
            "telephone_number": "847-253-3710",
            "fax_number": "847-368-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOME FOR THE AGED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "ALCANTARA",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-732-8208"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1666453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.