Active NPI
Lutheran Care Center
- Skilled Nursing Facility
- Altamont, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0025023
- 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
- Last updated
- Feb 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Emily J. Miller
- Title
- Administrator
- Phone
- (618) 483-6136
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | IL | ||
| Skilled Nursing Facility | 314000000X | 0025023 | IL | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100628000470 | IL | Part A Provider - Skilled Nursing Facility | 3971634478 | Practice locations: Altamont, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1497736268. Details of each certification follow.
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
- Enrollment address
- 702 W Cumberland Rd
Altamont, IL 62411-1053 - Nursing home name
- LUTHERAN CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lutheran Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 9, 1979
- Medicare certification status
- Active
- Certified beds
- 96
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0434806 | Lutheran Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
702 W Cumberland Rd
Altamont, IL 62411
Phone (618) 483-6136
Ownership & related parties
All disclosed owners & managing parties 63
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| 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% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Altamont, IL
- NPI 1497715056
Adp of the SNF, Corporate Director, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1131494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1497736268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 W CUMBERLAND RD",
"city": "ALTAMONT",
"state": "IL",
"postal_code": "624111053",
"telephone_number": "618-483-6136",
"fax_number": "618-483-5607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 W CUMBERLAND RD",
"city": "ALTAMONT",
"state": "IL",
"postal_code": "624111053",
"telephone_number": "618-483-6136",
"fax_number": "618-483-5607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-09",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "EMILY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "618-483-6136",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0025023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamont, IL
- HSHS Prairie, Inc (HSHS Medical Group Family Medicine - Altamont)
- Jon Richmond Gieseking (Gieseking Funeral Home & Ambulance Service)
- Kathryn Lynn Koester, APRN
- Kremer Pharmacy Inc.
- Kremer Pharmacy Inc. (Kremer Pharmacy Altamont LTC)
- Heather Dawn McDaniel, OTR/L
- Rebecca L Merten, NP
- Mid-Illinois Medical Care Associates, LLC (Altamont Clinic)
- April R Moeller, LPTA
- Lori L. Niemerg, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.