Organization Active NPI

Lutheran Care Center

  • Skilled Nursing Facility
  • Altamont, IL
National Provider Identifier
1497736268
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0025023 Issued in 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
Last updated
Feb 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 145380 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
9645.6 residents per day on average
Penalties (3 years)
3Fines totaling $36,553

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
14D0434806Lutheran Care Center702 W Cumberland Rd, Altamont, IL 62411Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Kathryn L Huntley Individual Operational/Managerial Control Jan 11, 2016
Adp of the SNF Jan 11, 2016
St. John Lutheran Church Organization, Dieterich, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
Dennis Blievernicht Individual Corporate DirectorFull Board Jan 26, 2015
St. Paul Lutheran Church Organization, Wheeler, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
Beth a Reynolds Individual Corporate DirectorFull Board Jan 26, 2023
Susan Braasch Individual Corporate DirectorFull Board Jan 1, 2026
Christine Workman Individual Operational/Managerial Control Apr 16, 2017
Kimberly Schroeder Individual Corporate DirectorFull Board Aug 25, 2025
Dorothy B Behrns Individual Corporate DirectorFull Board Jan 1, 2025
Marcia a Milburn-Gehle Individual Operational/Managerial Control Jan 19, 2012
Adp of the SNF Jan 19, 2012
Cliftonlarsonallen LLP Organization, Minneapolis, MN Adp of the SNF Sep 30, 2013
Grace Evangelical Lutheran Church Organization, Dieterich, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
St. Paul Lutheran Church Organization, Altamont, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
Joann Givens Individual Corporate DirectorFull Board Jan 25, 2016
Cheryl Hoffmeister Individual Corporate DirectorFull Board Jan 1, 2026
Ronald D Mulvaney Individual Operational/Managerial Control Feb 10, 2025
Adp of the SNF Feb 10, 2025
Beverly a Soltwedel Individual Corporate DirectorExecutive Board Jan 1, 2026
St. John's Lutheran Church Organization, Effingham, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
Douglas Heiden Individual Corporate DirectorFull Board Jan 1, 2025
Immanuel Lutheran Church Organization, Altamont, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
Norma Wohltman Individual Corporate DirectorExecutive Board Jan 1, 2026
Mike Kirchhoff Individual Corporate DirectorFull Board Jan 1, 2026
Susan C Hanfland Individual Corporate DirectorFull Board Jan 26, 2023
Mariya F Asbell Individual Operational/Managerial Control Aug 14, 2023
Adp of the SNF Aug 14, 2023
Zion Lutheran Church Organization, Altamont, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
Gerald S Wyckoff Individual Corporate DirectorFull Board Jan 25, 2022
St. James Evangelical Lutheran Church Organization, Vandalia, IL 5% Or Greater Direct Ownership Interest Apr 28, 2003 5%
Charles Biggs Individual Corporate DirectorVice President Jan 1, 2026
David Traub Individual Corporate DirectorFull Board Jan 1, 2026
Tamyra L Reeter Individual Operational/Managerial Control May 23, 2022
Adp of the SNF May 23, 2022
Kathy Wyckoff Individual Corporate DirectorFull Board Jan 25, 2022
Trinity Lutheran Church Nalc Organization, Shumway, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
Trinity Evangelical Lutheran Church Organization, Stewardson, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
Krystle N Herrmann Individual Operational/Managerial Control Aug 30, 2012
Adp of the SNF Aug 30, 2012
Alexis Cornett Individual Operational/Managerial Control Apr 29, 2025
Adp of the SNF Apr 29, 2025
Kurt Stremming Individual Corporate DirectorFull Board Jan 26, 2015
St. John's Lutheran Church of Shelbyville Organization, Shelbyville, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
Sandra Heiden Individual Corporate DirectorExecutive Board Member Jan 1, 2024
St. John's Evangelical Lutheran Church Organization, Louisville, IL 5% Or Greater Direct Ownership Interest Nov 28, 2011 5%
Jack Hastings Individual Corporate DirectorTreasurer Jan 1, 2026
Holy Cross Evangelical Lutheran Church Organization, Vandalia, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
John P. Opilka Individual Corporate DirectorMedical Director Jul 30, 2001
Operational/Managerial Control Jul 30, 2001
Adp of the SNF Apr 25, 2025
Frederick Bray Individual Corporate DirectorFull Board Jan 1, 2025
Kathryn Corder Individual Corporate DirectorExecutive Board Jan 1, 2025
Vera Garbe Individual Corporate DirectorFull Board Jan 26, 2015
Twila Magnus Individual Corporate DirectorSecretary Jan 1, 2026
Diane Aherin Individual Corporate DirectorFull Board Jan 25, 2021
Grace Evangelical Lutheran Church Organization, Strasburg, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
St. Paul Evangelical Lutheran Church Elca Organization, Altamont, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
Emily Miller Individual Corporate OfficerAuthorized Official Apr 2, 2021
Corporate DirectorAuthorized Official Apr 2, 2021
Operational/Managerial Control Apr 2, 2021
Adp of the SNF May 15, 2025
Diane Wetherell Individual Corporate DirectorExecutive Board Jan 1, 2025
Robert Williams Individual Corporate DirectorFull Board Jan 26, 2015
Faith Lutheran Church Organization, Shumway, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
St. Peter's Lutheran Church Organization, Saint Peter, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
Deborah Hanson Individual Corporate DirectorFull Board7 Jan 27, 2020
Jeff Stremming Individual Corporate OfficerPresident Jan 1, 2025
Joni K Clifton Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Dawn Y Feldhake Individual Operational/Managerial Control Aug 30, 2021
Adp of the SNF Aug 30, 2021
Lea J Stuckmeyer Individual Corporate DirectorFull Board Jan 25, 2022
St. Paul Lutheran Church Organization, Strasburg, IL 5% Or Greater Direct Ownership Interest Oct 1, 1980 5%
Samantha R Harris Individual Operational/Managerial Control Nov 23, 2022
Adp of the SNF Nov 23, 2022
Immanuel Lutheran Church Organization, Shobonier, IL 5% Or Greater Direct Ownership Interest Jul 23, 2012 5%
Holy Cross Lutheran Church Organization, Shelbyville, IL 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.

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

Sources for this page

Verify at the official NPI Registry.