Active NPI
St. John'S Lutheran Home
- Skilled Nursing Facility
- Albert Lea, MN
National Provider Identifier
1679566046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 328213
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079040100 | Medicaid | MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0651531 | St John'S Lutheran Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Skilled Nursing Facility
- Albert Lea, MN
- NPI 1760903157
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.