Organization Active NPI

St. John'S Lutheran Home

  • Skilled Nursing Facility
  • Albert Lea, MN
National Provider Identifier
1760903157
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST. JOHN'S LUTHERAN HOME
Doing business as
St. John's Lutheran Community
Practice address
1771 Eagle View Cir
Albert Lea, MN 56007-1817
Phone
(507) 373-8226
Fax
(507) 379-9506
NPI assigned
Jul 6, 2017
Organization subpart
Yes
Parent organization
ST. JOHN'S LUTHERAN HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1771 Eagle View Cir
Albert Lea, MN 56007-1817

Mailing address

901 Luther PL
Albert Lea, MN 56007-1562
Phone (057) 473-1015

Other names 1

  • St. John's Lutheran Community Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170906001415 MN Part A Provider - Skilled Nursing Facility 1355352345 Practice locations: Albert Lea, MN

Skilled nursing facility certification: CCN 245635

Legal name
ST JOHNS LUTHERAN HOME
Doing business as
ST JOHNS LUTHERAN COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 29, 2018
Last certification
Nov 6, 2024
Beds
84
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Jun 11, 1957 in MN
Enrollment address
1771 Eagle View Cir
Albert Lea, MN 56007-1817
Nursing home name
ST JOHNS ON FOUNTAIN LAKE

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Johns on Fountain LakeCCN 245635 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Mar 29, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8476.9 residents per day on average
Penalties (3 years)
1Fines totaling $16,448

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
St Johns Lutheran Home

Locations

1771 Eagle View Cir
Albert Lea, MN 56007
Phone (507) 373-8226

901 Luther Pl
Albert Lea, MN 56007
Phone (507) 373-8226

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Heather King Individual Operational/Managerial Control Jun 30, 2021
Mark Anderson Individual Corporate OfficerBoard Member Jan 1, 2025 9%
Mark Anderson Individual Corporate OfficerExecutive Director Oct 6, 2025
Operational/Managerial Control Oct 6, 2025
Adp of the SNF Mar 9, 2026
Steven Schulz Individual Corporate OfficerBoard Member Jan 1, 2025 9%
United States Department of Agriculture - Rural Development Organization, Faribault, MN 5% Or Greater Mortgage Interest Dec 1, 2014 52%
Shane Koepke Individual Corporate DirectorBoard Member Jan 1, 2025 9%
Camilla Kolker-Sparks Individual Corporate DirectorBoard Member Jan 1, 2025 9%
Mark Light Individual Corporate OfficerBoard Member Jan 1, 2025 9%
Judy L Fruehbrodt Glenzinski Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Feb 12, 2025
Richard Loberg Individual Corporate OfficerBoard Member Jan 1, 2025 9%
James Munyer Individual Corporate OfficerBoard Member Jan 1, 2025 9%
Certus Albert Lea Management LLC Organization, Minnetonka, MN Management services company Operational/Managerial Control Aug 8, 2025
Adp of the SNF Dec 5, 2025
John Holt Individual Corporate OfficerBoard Member Jan 1, 2025 9%
Brenda Wichmann Individual Corporate OfficerBoard Member Jan 1, 2025 9%
City of Hayward Minnesota Organization, Hayward, MN 5% Or Greater Mortgage Interest Dec 1, 2014 48%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1760903157",
    "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": "057-473-1015",
            "fax_number": "507-379-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 EAGLE VIEW CIR",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071817",
            "telephone_number": "507-373-8226",
            "fax_number": "507-379-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S LUTHERAN HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOHN'S LUTHERAN HOME",
        "enumeration_date": "2017-07-06",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Lutheran Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albert Lea, MN

Sources for this page

Verify at the official NPI Registry.