North Dakota Veterans Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1093A Issued in ND

Legal business name

NORTH DAKOTA VETERANS HOME

Practice address

1400 Rose St
Box 673
Lisbon, ND 58054-4846

Phone

(701) 683-6500

Fax

(701) 683-6550

NPI assigned

Jan 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kristin Lunneborg

Title

Accounting Manager

Phone

(701) 683-6503

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821077025. Details of each certification follow.

• CCN 355114 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 355114

Legal name

NORTH DAKOTA VETERANS HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 2, 1991

Last certification

Jun 27, 2024

Beds

52

Ownership / control type

State

Organization structure

GovernmentNon-profit

Enrollment address

1600 Veterans Dr
Lisbon, ND 58054-4801

Nursing home name

NORTH DAKOTA VETERANS HOME

Listed as

North Dakota Veterans HomeCCN 355114 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Government - State

Certified

Dec 2, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5249.6 residents per day on average

Penalties (3 years)

1Fines totaling $9,620

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

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.

• James Lester Holben, LMSW, CTRS, CPRP

  • Clinical Social Worker
  • Jamestown, ND
  • NPI 1598789646
  NPD (past)
• Katie L Tanner, PA

  • Physician Assistant
  • Lisbon, ND
  • NPI 1225013634
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821077025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ROSE ST",
            "address_2": "BOX 673",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "580544846",
            "telephone_number": "701-683-6500",
            "fax_number": "701-683-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ROSE ST",
            "address_2": "BOX 673",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "580544846",
            "telephone_number": "701-683-6500",
            "fax_number": "701-683-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DAKOTA VETERANS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUNNEBORG",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "701-683-6503",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1093A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30293",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Nelson
• Ryan M Nelson, DDS
• Hillary M Newborg, APRN,CNP
• Brianna Nielsen, PT
• Rebecca Maire Nord
• Nudak Ventures North Dakota LLC (NuCara Pharmacy #34)
• Chad Allan Olson, DC
• Kiesha M. Onyeneho, MD
• Cynthia Owre
• Parkside Home (Parkside Lutheran Home, Inc.)

• Skilled Nursing Facility in Lisbon, ND
• Providers in Lisbon, ND by specialty
• Skilled Nursing Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.