Organization Active NPI

Luther Memorial Home

  • Skilled Nursing Facility
  • Madelia, MN
National Provider Identifier
1740284165
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
328182 Issued in MN
Legal business name
LUTHER MEMORIAL HOME
Practice address
221 6TH St SW
Madelia, MN 56062-1626
Phone
(507) 642-3271
Fax
(507) 642-8676
NPI assigned
Jun 13, 2005
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dawn Campbell
Title
Licensed Nursing Home Administrator
Phone
(507) 642-3271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 328182 MN Primary

Addresses

Primary practice location

221 6TH St SW
Madelia, MN 56062-1626

Mailing address

221 6TH St SW
Madelia, MN 56062-1626
Phone (507) 642-3271

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041108000576 MN Part A Provider - Skilled Nursing Facility 6800859166 Practice locations: Madelia, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740284165. Details of each certification follow.

Skilled nursing facility certification: CCN 245522

Legal name
LUTHER MEMORIAL HOME
Doing business as
LIVING MEADOWS AT LUTHER - MADELIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1987
Last certification
Mar 26, 2025
Beds
40
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Oct 17, 1960 in MN
Enrollment address
221 6TH St SW
Madelia, MN 56062-1626
Nursing home name
LIVING MEADOWS AT LUTHER - MADELIA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Living Meadows at Luther - MadeliaCCN 245522 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Nov 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4037.1 residents per day on average
Penalties (3 years)
1Fines totaling $13,627

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

503 Benzel Ave SW
Madelia, MN 56062
Phone (218) 205-5030

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Mary Feder Individual Corporate OfficerSecretary Feb 26, 2013
Larry Passel Individual W-2 Managing EmployeeAdministrator Jan 6, 2020 100%
Colleen Jacobs Individual Corporate OfficerTreasurer Feb 25, 2014
Beth Goodburn Individual Corporate DirectorBoard Member Feb 28, 2017
Dennis Swenson Individual Corporate Director Feb 26, 2013
Charles Olson Individual Corporate DirectorBoard Member Feb 28, 2017
Calvin Hanson Individual Corporate OfficerPresident Feb 28, 2012

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1740284165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 6TH ST SW",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621626",
            "telephone_number": "507-642-3271",
            "fax_number": "507-642-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 6TH ST SW",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621626",
            "telephone_number": "507-642-3271",
            "fax_number": "507-642-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHER MEMORIAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "LICENSED NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "507-642-3271"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "328182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madelia, MN

Sources for this page

Verify at the official NPI Registry.