Luther Manor Association

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

028345 Issued in MO

Legal business name

LUTHER MANOR ASSOCIATION

Practice address

3170 Highway 61
Hannibal, MO 63401-6571

Phone

(573) 221-5533

Fax

(573) 221-3634

NPI assigned

Jun 2, 2005

Last updated

May 20, 2026By 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. Paul Ewert

Title

Administrator

Phone

(573) 221-5533

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881698165. Details of each certification follow.

• CCN 265690 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265690

Legal name

LUTHER MANOR ASSOCIATION

Doing business as

LUTHER MANOR RETIREMENT AND NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 11, 1997

Last certification

Oct 18, 2023

Beds

64

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 24, 1968 in MO

Enrollment address

3170 Highway 61
Hannibal, MO 63401-6571

Nursing home name

LUTHER MANOR RETIREMENT & NURSING CENTER

Listed as

Luther Manor Retirement & Nursing CenterCCN 265690 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 11, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6452.6 residents per day on average

Penalties (3 years)

1Fines totaling $13,270

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

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.

• Stephen E. Halpin, M.D.

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1346229937
  NPD (past)
• James Edwin Tucker, DO

  • Family Medicine Physician
  • Hannibal, MO
  • NPI 1851772289
  NPD (past)

Affiliated clinicians 4

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

• John Paul Greving, DO

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1043388036

  Nursing home

  Care Compare affiliation
• Stephen E. Halpin, M.D.

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1346229937

  Nursing home

  Care Compare affiliation
• Erik J Meidl, M.D.

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1891774469

  Nursing home

  Care Compare affiliation
• James Edwin Tucker, DO

  • Family Medicine Physician
  • Hannibal, MO
  • NPI 1851772289

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1881698165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 HIGHWAY 61",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016571",
            "telephone_number": "573-221-5533",
            "fax_number": "573-221-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 HIGHWAY 61",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016571",
            "telephone_number": "573-221-5533",
            "fax_number": "573-221-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHER MANOR ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "EWERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-221-5533",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "028345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101473007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lollar, MSN, ANP
• Allisyn Haily Long, PLPC
• Priscilla E Long, M.D.
• Loving Hands Isl
• Gregory Michael Lowes, LPC
• Victor Anthony Maalouf, D.O.
• Sydney Madden
• Heather Anne Mahsman
• Amber Majors
• James Keith Mann, M.D.

• Skilled Nursing Facility in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.