Lutheran Homes

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LUTHERAN HOMES

Doing business as

Twin Valley Living Center & Lincoln Terrace

Practice address

208 Oppegard Ave NW
Twin Valley, MN 56584-0480

Phone

(218) 584-5181

Fax

(218) 584-5304

NPI assigned

Sep 2, 2005

Last updated

May 31, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

LUTHERAN HOMESAs reported in NPPES

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

Authorized official

Name

Mrs. Shari A Schreiner, EXECUTIVE DIRECTOR,

Title

Executive Director

Phone

(218) 584-5181

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Twin Valley Living Center & Lincoln Terrace Doing business as

Part of

Lutheran Homes

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1487648598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "address_2": "208 OPPEGARD AVE NW",
            "city": "TWIN VALLEY",
            "state": "MN",
            "postal_code": "565840480",
            "telephone_number": "218-584-5181",
            "fax_number": "218-584-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OPPEGARD AVE NW",
            "city": "TWIN VALLEY",
            "state": "MN",
            "postal_code": "565840480",
            "telephone_number": "218-584-5181",
            "fax_number": "218-584-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOMES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN HOMES",
        "enumeration_date": "2005-09-02",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "SCHREINER",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-584-5181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EXECUTIVE DIRECTOR,"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "328507",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "9751 LU",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546242800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030221",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "NH 0586",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER NUMBER",
            "identifier": "71-22703",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Valley Living Center & Lincoln Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Wayne Dewey, RPH
• Nicole Kruger, PHARMD
• G. Thomas Nelson, D.C.
• Norman County East School District No 2215
• Dirgha Prasai
• Sanford Medical Center Fargo (Sanford Health Twin Valley Clinic)
• Nancy J Stock, NP

• Skilled Nursing Facility in Twin Valley, MN
• Providers in Twin Valley, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.