NPIMap

Organization Active NPI

Lutheran Home for the Aged Association-East

Doing business as Lutheran Home Health Agency

  • Home Health Agency
  • Vinton, IA
National Provider Identifier
1679741060
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LUTHERAN HOME FOR THE AGED ASSOCIATION-EAST
Doing business as
Lutheran Home Health Agency
Practice address
1413 2ND Ave
Vinton, IA 52349-1695
Phone
(319) 472-4211
NPI assigned
Feb 19, 2008
Last updated
May 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Diane Gloede
Title
Coo
Phone
(319) 472-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1413 2ND Ave
Vinton, IA 52349-1695

Mailing address

1413 2ND Ave
Vinton, IA 52349-1695
Phone (319) 472-4211

Other names 1

  • LUTHERAN HOME HEALTH AGENCY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080411000316 IA Part A Provider - Home Health Agency 3577474196 Practice locations: Vinton, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679741060. Details of each certification follow.

Home health agency certification: CCN 167410

Legal name
LUTHERAN HOME FOR THE AGED ASSOCIATION-EAST
Doing business as
LUTHERAN HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 5, 2009
Last certification
Dec 31, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jul 13, 1945 in IA
Enrollment address
1413 2ND Ave
Vinton, IA 52349-1695

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lutheran Home Health AgencyCCN 167410 · All quality measures
Ownership
Non-Profit
Certified
Nov 5, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
16D2005688Lutheran Home Health Agency1413 2ND Avenue, Vinton, IA 52349Certificate of waiverMar 31, 2028

National Provider Directory

National Provider Directory
Tax ID family
Perry Lutheran Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Charles Scott Campbell Individual Corporate OfficerBoard Chair Jun 21, 2021
Corporate Director Jun 21, 2021
Diane Lee Gloede Individual W-2 Managing EmployeeCoo Apr 28, 2008
Douglas M Woltemath Individual Corporate DirectorBoard Member Oct 22, 2013
James O Wegener Individual Corporate Director Jun 21, 2021
Susan a Payne Individual Corporate Director Jun 21, 2021
Kevin Devries Individual Corporate DirectorBoard Member Oct 19, 2023
Daniel T Newton Individual Corporate Director Jan 20, 2022
Melinda Vanree Individual W-2 Managing EmployeeDirector of Nursing Jun 21, 2021
Jerry D Lindstrom Individual Corporate OfficerTreasurer- Board Member Oct 22, 2008
Corporate Director Oct 20, 2020
Thomas C Wegener Individual Corporate DirectorBoard Member Apr 28, 2008
Ashley Hesson Individual Corporate DirectorBoard Member Oct 19, 2023
Dorothea E Wood Individual Corporate OfficerSecretary Jun 21, 2021
Corporate Director Jun 21, 2021
Dan Kloppenborg Individual Corporate Director Jan 20, 2022

Subparts reporting this organization as parent 2

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": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1679741060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 2ND AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491695",
            "telephone_number": "319-472-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 2ND AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491695",
            "telephone_number": "319-472-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOME FOR THE AGED ASSOCIATION-EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "GLOEDE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "319-472-4211"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUTHERAN HOME HEALTH AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vinton, IA

Sources for this page

Verify at the official NPI Registry.