Lutheran Center at Poughkeepsie, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1302306N Issued in NY

Legal business name

LUTHERAN CENTER AT POUGHKEEPSIE, INC

Practice address

965 Dutchess Tpke
Poughkeepsie, NY 12603-1551

Phone

(845) 486-9494

Fax

(845) 486-7592

NPI assigned

Nov 1, 2005

Last updated

Jan 15, 2025By 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

Laraine Fellegara

Title

Ceo

Phone

(914) 255-7917

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lutheran Center at Poughkeepsie Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669463410. Details of each certification follow.

• CCN 335810 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335810

Legal name

LUTHERAN CENTER AT POUGHKEEPSIE INC

Doing business as

LUTHERAN CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 2, 1998

Last certification

Feb 6, 2024

Beds

160

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 1, 1998 in NY

Enrollment address

965 Dutchess Tpke
Poughkeepsie, NY 12603-1551

Nursing home name

LUTHERAN CENTER AT POUGHKEEPSIE INC

Listed as

Lutheran Center At Poughkeepsie IncCCN 335810 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Sep 2, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

160142.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

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

• Amjad Iqbal, M.D.

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1629296223
  NPD (past)
• Jaikumar Ravunniarath Menon, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Poughkeepsie, NY
  • NPI 1427000934
  NPD (past)
• Ogleh I Nesheiwat, MD

  • Internal Medicine Physician
  • Hopewell Junction, NY
  • NPI 1194809145
  NPD (past)

Affiliated clinicians 3

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

• Amjad Iqbal, M.D.

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1629296223

  Nursing home

  Care Compare affiliation
• Jaikumar Ravunniarath Menon, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Poughkeepsie, NY
  • NPI 1427000934

  Nursing home

  Care Compare affiliation
• Ogleh I Nesheiwat, MD

  • Internal Medicine Physician
  • Hopewell Junction, NY
  • NPI 1194809145

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1669463410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 DUTCHESS TPKE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031551",
            "telephone_number": "845-486-9494",
            "fax_number": "845-486-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 DUTCHESS TPKE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031551",
            "telephone_number": "845-486-9494",
            "fax_number": "845-486-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN CENTER AT POUGHKEEPSIE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "FELLEGARA",
        "authorized_official_first_name": "LARAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-255-7917"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1302306N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01897323",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DOH LICENSE NUMBER",
            "identifier": "1302306N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Center at Poughkeepsie",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jennifer Helena Lukasik, PT, DPT
• Dayana Luna Valdez
• Morganne Lundin
• Lauren Lundy, FNP-C
• Barbara J. Lusito, LCSW
• Luxottica of America Inc. (LensCrafters #170)
• Louise B Lynch, CDN
• Phillip Irving Lynch Jr., MD
• Kerrie Lynn Lyons-Glassman, MS, PT
• James Joseph Lyons, M.D.

• Skilled Nursing Facility in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.