Organization Active NPI

St. John'S Lutheran Home

  • Skilled Nursing Facility
  • Albert Lea, MN
National Provider Identifier
1679566046
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
328213 Issued in MN
Legal business name
ST. JOHN'S LUTHERAN HOME
Practice address
901 Luther PL
Albert Lea, MN 56007-1562
Phone
(507) 373-8226
Fax
(507) 379-9507
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Authorized official

Name
Mrs. Linette Marie Kleinschrodt, RN
Title
Reimbursement Coordinator
Phone
(507) 373-8226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 328213 MN Primary

Addresses

Primary practice location

901 Luther PL
Albert Lea, MN 56007-1562

Mailing address

901 Luther PL
Albert Lea, MN 56007-1562
Phone (507) 373-8226

Other identifiers 1

IdentifierTypeStateIssuer
079040100MedicaidMN

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
24D0651531St John'S Lutheran Home901 Luther Place, Albert Lea, MN 56007Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1679566046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LUTHER PL",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071562",
            "telephone_number": "507-373-8226",
            "fax_number": "507-379-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LUTHER PL",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071562",
            "telephone_number": "507-373-8226",
            "fax_number": "507-379-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S LUTHERAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "KLEINSCHRODT",
        "authorized_official_first_name": "LINETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "REIMBURSEMENT COORDINATOR",
        "authorized_official_telephone_number": "507-373-8226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079040100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.