NPIMap

American Lutheran Church

Organization Active NPI Nursing Facility/Intermediate Care Facility · Elk Horn, IA

NPI 1760460489 · NPPES record last updated Aug 12, 2014

Key facts

NPI
1760460489
Entity type
Organization (NPI type 2)
Primary specialty
Nursing Facility/Intermediate Care Facility 313M00000X
License
830061 (IA)
Legal business name
AMERICAN LUTHERAN CHURCH
Practice address
2027 College
Elk Horn, IA 51531-0703
Phone
(712) 764-4201
Fax
(712) 764-4206
NPI assigned
Jan 3, 2006
Organization subpart
Yes
Parent organization (as reported)
AMERICAN LUTHERAN CHURCH

Authorized official

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

Facilities with the same owner 106

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

View all 106

Affiliated clinicians 8

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

Medicare Care Compare: Nursing home

Listed as
Salem Lutheran Home CCN 165155
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
Active (Provider of Services file)
Certified beds
64 · 47.8 residents per day on average
Chain
Good Samaritan Society (92 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0385834Salem Lutheran Homes
2027 College Street, Elk Horn, IA 51531		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

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
Corporation · Non-profit
Enrollment address
2027 College St
Elk Horn, IA 51531-8007
Nursing home name
SALEM LUTHERAN HOME
Affiliated entity
GOOD SAMARITAN SOCIETY

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 Officer
President		 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

Medicare enrollment records

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

National Provider Directory

Part of
American Lutheran Church

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 830061 IA Yes
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 identifiers

IdentifierTypeStateIssuer
0803551MedicaidIA
65155OtherIABC/BS THERAPY AND CI

Other names

  • Salem Lutheran Homes Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 12, 2014.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803551",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS THERAPY AND CI",
            "identifier": "65155",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Lutheran Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Horn, IA

All providers in Elk Horn, IA · Nursing Facility/Intermediate Care Facility in Iowa

Sources for this page

Verify at the official NPI Registry.