Lutheran Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0442N Issued in OH

Legal business name

LUTHERAN HOME

Doing business as

Lutheran Home at Concord Reserve

Practice address

2116 Dover Center Road
Westlake, OH 44145-3154

Phone

(440) 871-0090

Fax

(440) 871-7289

NPI assigned

Oct 2, 2006

Last updated

Apr 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John McNea, LNHA

Title

Administrator

Phone

(440) 871-0090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lutheran Home at Concord Reserve Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619061199. Details of each certification follow.

• CCN 365020 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 365020

Legal name

LUTHERAN HOME

Doing business as

LUTHERAN HOME AT CONCORD RESERVE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Aug 24, 2023

Beds

85

Ownership / control type

Nonprofit Corporation

Multi-facility organization

LIFE ENRICHING COMMUNITIES

Organization structure

CorporationNon-profit

Enrollment address

2116 Dover Center Rd
Westlake, OH 44145-3154

Nursing home name

LUTHERAN HOME

Listed as

Lutheran HomeCCN 365020 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4058.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Lutheran Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lutheran Home

  • Assisted Living Facility
  • Westlake, OH
  • NPI 1497522684
  NPD tax ID

All disclosed owners & managing parties 39

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Erin Alexander

  • Speech-Language Pathologist
  • Montgomery, OH
  • NPI 1740155761

  Operational/Managerial Control

  CMS ownership
• Anthony Miniaci, DO

  • Internal Medicine Physician
  • Independence, OH
  • NPI 1679073001

  Adp of the SNF

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ibrahim Bshara, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1740256445
  NPD (past)
• Anthony Miniaci, DO

  • Internal Medicine Physician
  • Independence, OH
  • NPI 1679073001
  NPD (past)
• Kishor Patel I, MD

  • Internal Medicine Physician
  • Rocky River, OH
  • NPI 1073613626
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ibrahim Bshara, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1740256445

  Nursing home

  Care Compare affiliation
• Anthony Miniaci, DO

  • Internal Medicine Physician
  • Independence, OH
  • NPI 1679073001

  Nursing home

  Care Compare affiliation
• Kishor Patel I, MD

  • Internal Medicine Physician
  • Rocky River, OH
  • NPI 1073613626

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1619061199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 DOVER CENTER ROAD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453154",
            "telephone_number": "440-871-0090",
            "fax_number": "440-871-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 DOVER CENTER ROAD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453154",
            "telephone_number": "440-871-0090",
            "fax_number": "440-871-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "MCNEA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-871-0090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0442N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5345200",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Home at Concord Reserve",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cody William Lukes, DO
• Artur Lukovich
• Mackenzie Jade Luschkowski
• Kaylia Dawn Luster
• Lutheran Home
• Andrew Luu, DO
• Luxottica of America Inc (Lenscrafters #A679)
• Chandra Lynch, PA
• Michael S Lynch, D.D.S
• Lyons Cardiology LLC

• Skilled Nursing Facility in Westlake, OH
• Providers in Westlake, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.

Verify at the official NPI Registry.