Organization Active NPI

Tweeten Lutheran Healthcare Center, Inc

Doing business as Gundersen Tweeten Care Center

  • Skilled Nursing Facility
  • Spring Grove, MN
National Provider Identifier
1891876181
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
332995 Issued in MN
Legal business name
TWEETEN LUTHERAN HEALTHCARE CENTER, INC
Doing business as
Gundersen Tweeten Care Center
Practice address
125 5TH Ave SE
Spring Grove, MN 55974-1318
Phone
(507) 498-3211
Fax
(507) 498-3228
NPI assigned
Oct 17, 2006
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
GUNDERSEN LUTHERAN HEALTH SYSTEMS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Tim Samuelson
Title
Ceo
Phone
(507) 498-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 332995 MN Primary

Addresses

Primary practice location

125 5TH Ave SE
Spring Grove, MN 55974-1318

Mailing address

125 5TH Ave SE
Spring Grove, MN 55974-1318
Phone (507) 498-3211

Other names 1

  • Gundersen Tweeten Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040818000874 MN Part A Provider - Skilled Nursing Facility 5698748507 Practice locations: Spring Grove, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891876181. Details of each certification follow.

Skilled nursing facility certification: CCN 245429

Legal name
TWEETEN LUTHERAN HEALTHCARE CENTER, INC
Doing business as
GUNDERSEN TWEETEN CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1987
Last certification
Jan 9, 2025
Beds
49
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Emplify Health System (Gundersen)
Organization structure
CorporationNon-profit
Enrollment address
125 5TH Ave SE
Spring Grove, MN 55974-1318
Nursing home name
TWEETEN LUTHERAN HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tweeten Lutheran Health Care CenterCCN 245429 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4935.6 residents per day on average
Special focus status
SFF Candidate
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1019586Tweeten Lutheran Healthcare Center, Inc125 5TH Ave SE, Spring Grove, MN 55974Certificate of waiverNov 20, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 41

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

NameRoleSinceShare
Charles P Ness Individual Operational/Managerial Control Aug 1, 2025
Adp of the SNF Mar 3, 2026
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Sue Spinden Individual Operational/Managerial Control Jan 1, 2025
Organization, Mabel, MN Corporation Adp of the SNF Jun 9, 2025
Karen L Foster Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Appleton, WI Medical staffing company, For-profit Adp of the SNF Sep 30, 2025
Individual Adp of the SNF Jan 1, 2025
Renee Walton Individual Operational/Managerial Control Jan 1, 2025
Randi K Berg Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Apr 11, 2025
Tracer Rankin Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Brenda S Moser Individual Corporate OfficerFinance Administrator Jan 1, 2025
Adp of the SNF Feb 1, 2017
Individual Adp of the SNF Jan 1, 2025
Bellin Gundersen Health System Inc Organization, La Crosse, WI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Nov 30, 2022 100%
Operational/Managerial Control Nov 30, 2022 100%
Timothy Dewall Individual Operational/Managerial Control Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Kraig Schuster Individual Corporate OfficerVP - Operations Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Amanda Pericak Individual Corporate DirectorBoard Member Apr 1, 2022
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Lindsey Ranzenberger Individual Operational/Managerial Control Jan 1, 2025
Sarah Melde Individual Corporate DirectorBoard Member Jan 1, 2024
Elizabeth Hermeier Individual Corporate DirectorCommunity Board Member Jan 1, 2024
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Amy Heaney Individual Adp of the SNF Jan 1, 2025
Gundersen Lutheran Health System Inc Organization, La Crosse, WI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 22, 1986 100%
Operational/Managerial Control Aug 22, 1986 100%
Vickie M Bakalars Individual Corporate DirectorBoard Member Feb 1, 2017
Individual Adp of the SNF Jan 1, 2025
Jane Morken Individual Corporate DirectorBoard Member Feb 1, 2022
Individual Adp of the SNF Jan 1, 2025
Charles L Johnson Individual Corporate DirectorBoard Member Jan 23, 2019
Individual Adp of the SNF Jan 1, 2025
Individual Adp of the SNF Jan 1, 2025
Bruce Hegge Individual Corporate DirectorCommunity Board Member Feb 1, 2022
Organization, Eau Claire, WI Adp of the SNF Sep 19, 2025
Kari B Adank Individual Corporate OfficerVice President, Compliance Feb 21, 2024
Mark Branum Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 49

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

View all 49

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 1

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1891876181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 5TH AVE SE",
            "city": "SPRING GROVE",
            "state": "MN",
            "postal_code": "559741318",
            "telephone_number": "507-498-3211",
            "fax_number": "507-498-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 5TH AVE SE",
            "city": "SPRING GROVE",
            "state": "MN",
            "postal_code": "559741318",
            "telephone_number": "507-498-3211",
            "fax_number": "507-498-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWEETEN LUTHERAN HEALTHCARE CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNDERSEN LUTHERAN HEALTH SYSTEMS, INC",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-498-3211"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "332995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gundersen Tweeten Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Grove, MN

Sources for this page

Verify at the official NPI Registry.