United Lutheran Program for the Aging, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0934 Issued in WI

Legal business name

UNITED LUTHERAN PROGRAM FOR THE AGING, INC.

Doing business as

Luther Manor

Practice address

4545 N 92ND St
Milwaukee, WI 53225

Phone

(414) 464-3880

Fax

(414) 464-5834

NPI assigned

Jun 13, 2008

Last updated

Jul 2, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

UNITED LUTHERAN PROGRAM FOR THE AGING, INCAs reported in NPPES

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

Authorized official

Name

Arthur Allen Keup

Title

Cfo

Phone

(414) 464-6396

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Luther Manor Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639339518. Details of each certification follow.

• CCN 525588 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 525588

Legal name

UNITED LUTHERAN PROGRAM FOR THE AGING, INC

Doing business as

LUTHER MANOR

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1996

Last certification

Sep 10, 2024

Beds

99

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 3, 1957 in WI

Enrollment address

4545N 92ND St
Wauwatosa, WI 53225-4899

Nursing home name

LUTHER MANOR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• United Lutheran Program for the Aging, Inc

  dba Luther Manor Hospice

  • Community Based Hospice Care Agency
  • Wauwatosa, WI
  • NPI 1396938882

  5890882849

  Same PAC ID

Listed as

Luther ManorCCN 525588 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

May 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9994.7 residents per day on average

Penalties (3 years)

5Fines totaling $163,627

Processed by Care Compare on Aug 1, 2026.

Tax ID family

United Lutheran Program for the Aging Inc3 organizations share this tax ID, including this one

Part of

United Lutheran Program for the Aging Inc

Other organizations with this tax ID 2

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

• United Lutheran Program for the Aging, Inc

  dba Luther Manor Hospice

  • Community Based Hospice Care Agency
  • Wauwatosa, WI
  • NPI 1396938882
  NPD tax ID
• United Lutheran Program for the Aging, Inc

  dba The Clinic at Luther Manor

  • Clinic/Center
  • Wauwatosa, WI
  • NPI 1467948380
  NPD tax ID

All disclosed owners & managing parties 21

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.

• United Lutheran Program for the Aging, Inc

  dba Luther Manor Hospice

  • Community Based Hospice Care Agency
  • Wauwatosa, WI
  • NPI 1396938882

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Bethesda Long Term Care, Inc

  dba Bethesda Dilworth

  • Skilled Nursing Facility
  • Saint Louis, MO
  • NPI 1114993391

  Select Rehabilitation, LLC

  CMS ownership
• Bethesda Long Term Care, Inc.

  dba Bethesda Southgate

  • Skilled Nursing Facility
  • Saint Louis, MO
  • NPI 1750357950

  Select Rehabilitation, LLC

  CMS ownership
• Colonial Senior Services Inc

  • Skilled Nursing Facility
  • Hamilton, OH
  • NPI 1275534265

  Select Rehabilitation, LLC

  CMS ownership
• Colonial Senior Services, Inc.

  • Skilled Nursing Facility
  • Hamilton, OH
  • NPI 1376535286

  Select Rehabilitation, LLC

  CMS ownership
• Colonial Senior Services, Inc.

  dba Jamestowne Rehab

  • Skilled Nursing Facility
  • Hamilton, OH
  • NPI 1679022917

  Select Rehabilitation, LLC

  CMS ownership
• Luther Oaks Inc

  • Skilled Nursing Facility
  • Bloomington, IL
  • NPI 1639520034

  Select Rehabilitation, LLC

  CMS ownership
• Lutheran Home for the Aged

  • Skilled Nursing Facility
  • Arlington Heights, IL
  • NPI 1487641064

  Select Rehabilitation, LLC

  CMS ownership
• Pleasant View Luther Home, Inc

  • Skilled Nursing Facility
  • Ottawa, IL
  • NPI 1982651741

  Select Rehabilitation, LLC

  CMS ownership

Affiliated clinicians 3

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

• Mark D. Horneffer, MD

  • Internal Medicine Physician
  • Wauwatosa, WI
  • NPI 1710928965

  Nursing home

  Care Compare affiliation
• Mir Ismail Quryshi, MD

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1871506089

  Nursing home

  Care Compare affiliation
• Adam Henry Romeiser III, M.D.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1558527044

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1639339518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N 92ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532254807",
            "telephone_number": "414-464-3880",
            "fax_number": "414-464-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 92ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53225",
            "telephone_number": "414-464-3880",
            "fax_number": "414-464-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED LUTHERAN PROGRAM FOR THE AGING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED LUTHERAN PROGRAM FOR THE AGING, INC",
        "enumeration_date": "2008-06-13",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "KEUP",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-464-6396"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "WI",
            "license": "0934",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "0934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20134000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luther Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luther Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.