NPIMap

Organization Active NPI

American Lutheran Church

Doing business as Salem Lutheran Homes

  • Nursing Facility/Intermediate Care Facility
  • Elk Horn, IA
National Provider Identifier
1760460489
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
830061 Issued in IA
Legal business name
AMERICAN LUTHERAN CHURCH
Doing business as
Salem Lutheran Homes
Practice address
2027 College
Elk Horn, IA 51531-0703
Phone
(712) 764-4201
Fax
(712) 764-4206
NPI assigned
Jan 3, 2006
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN LUTHERAN CHURCHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Raye Nae Nylander
Title
Vice President Cfo
Phone
(605) 362-3100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 830061 IA Primary
Nursing Facility Supplies (DME) 332BN1400X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

2027 College
Elk Horn, IA 51531-0703

Mailing address

2027 College St
Elk Horn, IA 51531-8007
Phone (712) 764-4201

Other names 1

  • Salem Lutheran Homes Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080304000654 IA Part A Provider - Skilled Nursing Facility 3476638214 Practice locations: Elk Horn, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760460489. Details of each certification follow.

Skilled nursing facility certification: CCN 165155

Legal name
AMERICAN LUTHERAN CHURCH
Doing business as
SALEM LUTHERAN HOMES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1990
Last certification
Aug 11, 2024
Beds
64
Ownership / control type
Corporation
Organization structure
CorporationNon-profit
Enrollment address
2027 College St
Elk Horn, IA 51531-8007
Nursing home name
SALEM LUTHERAN HOME
Affiliated entity
GOOD SAMARITAN SOCIETY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Salem Lutheran HomeCCN 165155 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6447.8 residents per day on average
Chain
Good Samaritan Society92 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
16D0385834Salem Lutheran Homes2027 College Street, Elk Horn, IA 51531Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Part of
American Lutheran Church

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Nicklos Norby Individual Operational/Managerial Control Feb 14, 2020
The Evangelical Lutheran Good Samaritan Society Organization, Sioux Falls, SD Corporation Operational/Managerial Control Nov 20, 2007 100%
Stephen Shell Individual Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
American Lutheran Church Organization, Elk Horn, IA Corporation 5% Or Greater Direct Ownership Interest Feb 14, 2003 100%
Operational/Managerial Control Feb 14, 2003
Adp of the SNF Feb 14, 2003
Phil Nielsen Individual Corporate OfficerPresident Mar 6, 2016
Paul Jeffrey Gude Individual Corporate Officer Mar 1, 2021
Alan Blakestad Individual Corporate Officer Mar 1, 2020
Tami Schechinger Individual Corporate Officer Mar 1, 2021

Facilities with the same owner 106

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 106

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1760460489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 COLLEGE ST",
            "city": "ELK HORN",
            "state": "IA",
            "postal_code": "515318007",
            "telephone_number": "712-764-4201",
            "fax_number": "712-764-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 COLLEGE",
            "city": "ELK HORN",
            "state": "IA",
            "postal_code": "515310703",
            "telephone_number": "712-764-4201",
            "fax_number": "712-764-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN LUTHERAN CHURCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN LUTHERAN CHURCH",
        "enumeration_date": "2006-01-03",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "NYLANDER",
        "authorized_official_first_name": "RAYE NAE",
        "authorized_official_title_or_position": "VICE PRESIDENT CFO",
        "authorized_official_telephone_number": "605-362-3100"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "830061",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Lutheran Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Horn, IA

Sources for this page

Verify at the official NPI Registry.