Active NPI
St. John'S Lutheran Home
- Skilled Nursing Facility
- Albert Lea, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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 HOME
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Lake
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Mar 29, 2018
- Medicare certification status
- Active
- Certified beds
- 84
- Penalties (3 years)
- 1
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Heather King | Operational/Managerial Control | Jun 30, 2021 | |
| Mark Anderson | Corporate Officer | Jan 1, 2025 | 9% |
| Mark Anderson | Corporate Officer | Oct 6, 2025 | |
| Operational/Managerial Control | Oct 6, 2025 | ||
| Adp of the SNF | Mar 9, 2026 | ||
| Steven Schulz | Corporate Officer | Jan 1, 2025 | 9% |
| United States Department of Agriculture - Rural Development | 5% Or Greater Mortgage Interest | Dec 1, 2014 | 52% |
| Shane Koepke | Corporate Director | Jan 1, 2025 | 9% |
| Camilla Kolker-Sparks | Corporate Director | Jan 1, 2025 | 9% |
| Mark Light | Corporate Officer | Jan 1, 2025 | 9% |
| Judy L Fruehbrodt Glenzinski | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Feb 12, 2025 | ||
| Richard Loberg | Corporate Officer | Jan 1, 2025 | 9% |
| James Munyer | Corporate Officer | Jan 1, 2025 | 9% |
| Certus Albert Lea Management LLC | Operational/Managerial Control | Aug 8, 2025 | |
| Adp of the SNF | Dec 5, 2025 | ||
| John Holt | Corporate Officer | Jan 1, 2025 | 9% |
| Brenda Wichmann | Corporate Officer | Jan 1, 2025 | 9% |
| City of Hayward Minnesota | 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.
-
- Family Medicine Physician
- Faribault, MN
- NPI 1649204645
Adp of the SNF, Operational/Managerial Control
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.
-
- Skilled Nursing Facility
- Albert Lea, MN
- NPI 1679566046
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Faribault, MN
- NPI 1649204645
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Faribault, MN
- NPI 1649204645
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.