Lutheran Care Center
Organization Active NPI Skilled Nursing Facility · Altamont, IL
NPI 1497736268 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1497736268
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0025023 (IL)
- Legal business name
- LUTHERAN CARE CENTER
- Practice address
- 702 W Cumberland Rd
Altamont, IL 62411-1053 - Phone
- (618) 483-6136
- Fax
- (618) 483-5607
- NPI assigned
- Nov 9, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Emily J. Miller
- Title
- Administrator
- Phone
- (618) 483-6136
Owners & managing parties with NPI records 1
-
John P. Opilka, D.O.
Affiliated clinicians 3
-
Robert W Frost, MD
-
John P. Opilka, D.O.
-
Tina M Rozene, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Lutheran Care Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 9, 1979
- Medicare certification status
- Active
- Certified beds
- 96 · 45.6 residents per day on average
- Penalties (3 years)
- 3 · fines totaling $36,553
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0434806 | Lutheran Care Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Skilled nursing facility certification: CCN 145380
- Legal name
- LUTHERAN CARE CENTER
- Doing business as
- LUTHERAN CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 9, 1979
- Last certification
- Jul 26, 2024
- Beds
- 96
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 702 W Cumberland Rd
Altamont, IL 62411-1053 - Nursing home name
- LUTHERAN CARE CENTER
All disclosed owners & managing parties 63
| Name | Role | Since | Share |
|---|---|---|---|
| Kathryn L Huntley |
Operational/Managerial Control | Jan 11, 2016 | |
| Adp of the SNF | Jan 11, 2016 | ||
| St. John Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| Dennis Blievernicht |
Corporate Director |
Jan 26, 2015 | |
| St. Paul Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| Beth a Reynolds |
Corporate Director |
Jan 26, 2023 | |
| Susan Braasch |
Corporate Director |
Jan 1, 2026 | |
| Christine Workman |
Operational/Managerial Control | Apr 16, 2017 | |
| Kimberly Schroeder |
Corporate Director |
Aug 25, 2025 | |
| Dorothy B Behrns |
Corporate Director |
Jan 1, 2025 | |
| Marcia a Milburn-Gehle |
Operational/Managerial Control | Jan 19, 2012 | |
| Adp of the SNF | Jan 19, 2012 | ||
| Cliftonlarsonallen LLP |
Adp of the SNF | Sep 30, 2013 | |
| Grace Evangelical Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| St. Paul Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| Joann Givens |
Corporate Director |
Jan 25, 2016 | |
| Cheryl Hoffmeister |
Corporate Director |
Jan 1, 2026 | |
| Ronald D Mulvaney |
Operational/Managerial Control | Feb 10, 2025 | |
| Adp of the SNF | Feb 10, 2025 | ||
| Beverly a Soltwedel |
Corporate Director |
Jan 1, 2026 | |
| St. John'S Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| Douglas Heiden |
Corporate Director |
Jan 1, 2025 | |
| Immanuel Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| Norma Wohltman |
Corporate Director |
Jan 1, 2026 | |
| Mike Kirchhoff |
Corporate Director |
Jan 1, 2026 | |
| Susan C Hanfland |
Corporate Director |
Jan 26, 2023 | |
| Mariya F Asbell |
Operational/Managerial Control | Aug 14, 2023 | |
| Adp of the SNF | Aug 14, 2023 | ||
| Zion Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| Gerald S Wyckoff |
Corporate Director |
Jan 25, 2022 | |
| St. James Evangelical Lutheran Church |
5% Or Greater Direct Ownership Interest | Apr 28, 2003 | 5% |
| Charles Biggs |
Corporate Director |
Jan 1, 2026 | |
| David Traub |
Corporate Director |
Jan 1, 2026 | |
| Tamyra L Reeter |
Operational/Managerial Control | May 23, 2022 | |
| Adp of the SNF | May 23, 2022 | ||
| Kathy Wyckoff |
Corporate Director |
Jan 25, 2022 | |
| Trinity Lutheran Church Nalc |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| Trinity Evangelical Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| Krystle N Herrmann |
Operational/Managerial Control | Aug 30, 2012 | |
| Adp of the SNF | Aug 30, 2012 | ||
| Alexis Cornett |
Operational/Managerial Control | Apr 29, 2025 | |
| Adp of the SNF | Apr 29, 2025 | ||
| Kurt Stremming |
Corporate Director |
Jan 26, 2015 | |
| St. John'S Lutheran Church of Shelbyville |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| Sandra Heiden |
Corporate Director |
Jan 1, 2024 | |
| St. John'S Evangelical Lutheran Church |
5% Or Greater Direct Ownership Interest | Nov 28, 2011 | 5% |
| Jack Hastings |
Corporate Director |
Jan 1, 2026 | |
| Holy Cross Evangelical Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| John P. Opilka |
Corporate Director |
Jul 30, 2001 | |
| Operational/Managerial Control | Jul 30, 2001 | ||
| Adp of the SNF | Apr 25, 2025 | ||
| Frederick Bray |
Corporate Director |
Jan 1, 2025 | |
| Kathryn Corder |
Corporate Director |
Jan 1, 2025 | |
| Vera Garbe |
Corporate Director |
Jan 26, 2015 | |
| Twila Magnus |
Corporate Director |
Jan 1, 2026 | |
| Diane Aherin |
Corporate Director |
Jan 25, 2021 | |
| Grace Evangelical Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| St. Paul Evangelical Lutheran Church Elca |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| Emily Miller |
Corporate Officer |
Apr 2, 2021 | |
| Corporate Director |
Apr 2, 2021 | ||
| Operational/Managerial Control | Apr 2, 2021 | ||
| Adp of the SNF | May 15, 2025 | ||
| Diane Wetherell |
Corporate Director |
Jan 1, 2025 | |
| Robert Williams |
Corporate Director |
Jan 26, 2015 | |
| Faith Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| St. Peter'S Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| Deborah Hanson |
Corporate Director |
Jan 27, 2020 | |
| Jeff Stremming |
Corporate Officer |
Jan 1, 2025 | |
| Joni K Clifton |
Operational/Managerial Control | Jul 1, 2024 | |
| Adp of the SNF | Jul 1, 2024 | ||
| Dawn Y Feldhake |
Operational/Managerial Control | Aug 30, 2021 | |
| Adp of the SNF | Aug 30, 2021 | ||
| Lea J Stuckmeyer |
Corporate Director |
Jan 25, 2022 | |
| St. Paul Lutheran Church |
5% Or Greater Direct Ownership Interest | Oct 1, 1980 | 5% |
| Samantha R Harris |
Operational/Managerial Control | Nov 23, 2022 | |
| Adp of the SNF | Nov 23, 2022 | ||
| Immanuel Lutheran Church |
5% Or Greater Direct Ownership Interest | Jul 23, 2012 | 5% |
| Holy Cross Lutheran Church |
5% Or Greater Direct Ownership Interest | Feb 20, 2012 | 5% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100628000470 | IL | Part a Provider - Skilled Nursing Facility | 3971634478 | Practice locations: Altamont, IL |
National Provider Directory
Locations
702 W Cumberland Rd
Altamont, IL 62411
Phone (618) 483-6136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | IL | ||
| Skilled Nursing Facility | 314000000X | 0025023 | IL | Yes |
Addresses
Primary practice location
702 W Cumberland Rd
Altamont, IL 62411-1053
Mailing address
702 W Cumberland Rd
Altamont, IL 62411-1053
Phone (618) 483-6136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0025023 | Other | IL | LONG TERM CARE LICENSE |
| IL6005599 | Medicaid | IL |
Other providers in Altamont, IL
- HSHS Medical Group Inc
- Jon Richmond Gieseking
- Kathryn Lynn Koester
- Kremer Pharmacy Inc.
- Kremer Pharmacy Inc.
- Heather Dawn McDaniel
- Rebecca L Merten
- Mid-Illinois Medical Care Associates, LLC
- April R Moeller
- Lori L. Niemerg
All providers in Altamont, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.