Martin Luther Home Corporation

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NF-452 Issued in IA

Legal business name

MARTIN LUTHER HOME CORPORATION

Practice address

3131 Hillcrest Rd
Dubuque, IA 52001

Phone

(563) 588-1413

Fax

(563) 588-2770

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

Kim Harkey

Title

Administrator

Phone

(563) 690-6628

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Luther Manor Retirement Home Doing business as

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1508850512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 HILLCREST RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013908",
            "telephone_number": "563-588-1413",
            "fax_number": "563-588-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 HILLCREST RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52001",
            "telephone_number": "563-588-1413",
            "fax_number": "563-588-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LUTHER HOME CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "HARKEY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "563-690-6628"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IA",
            "license": "NF-452",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "NF-452",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "NF-452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802280",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luther Manor Retirement Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luther Manor Retirement Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Markham, MS
• Jennifer Elizabeth Marks, DO
• Robin Katherine Markus
• Nicholas Robert Marlette, LMSW
• Martin Luther Home Corporation
• Brooke Martin, LMHC
• Gina Martin
• Kenneth Wayne Martin, D.O.
• Timothy William Martin, M.D.
• Dorothy Marty

• Nursing Facility/Intermediate Care Facility in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Nursing Facility/Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.