Active NPI
Tweeten Lutheran Healthcare Center, Inc
Doing business as Gundersen Tweeten Care Center
- Skilled Nursing Facility
- Spring Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 332995
- 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, 2013
- Organization subpart
- Yes
- Parent organization
- GUNDERSEN LUTHERAN HEALTH SYSTEMS, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 1, 1987
- Medicare certification status
- Active
- Certified beds
- 49
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1019586 | Tweeten Lutheran Healthcare Center, Inc | Certificate of waiver | Nov 20, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Charles P Ness | Operational/Managerial Control | Aug 1, 2025 | |
| Adp of the SNF | Mar 3, 2026 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Sue Spinden | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jun 9, 2025 | ||
| Karen L Foster | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Sep 30, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Renee Walton | Operational/Managerial Control | Jan 1, 2025 | |
| Randi K Berg | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Apr 11, 2025 | ||
| Tracer Rankin | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Brenda S Moser | Corporate Officer | Jan 1, 2025 | |
| Adp of the SNF | Feb 1, 2017 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Bellin Gundersen Health System Inc | 5% Or Greater Indirect Ownership Interest | Nov 30, 2022 | 100% |
| Operational/Managerial Control | Nov 30, 2022 | 100% | |
| Timothy Dewall | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Kraig Schuster | Corporate Officer | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Amanda Pericak | Corporate Director | Apr 1, 2022 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Lindsey Ranzenberger | Operational/Managerial Control | Jan 1, 2025 | |
| Sarah Melde | Corporate Director | Jan 1, 2024 | |
| Elizabeth Hermeier | Corporate Director | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Amy Heaney | Adp of the SNF | Jan 1, 2025 | |
| Gundersen Lutheran Health System Inc | 5% Or Greater Direct Ownership Interest | Aug 22, 1986 | 100% |
| Operational/Managerial Control | Aug 22, 1986 | 100% | |
| Vickie M Bakalars | Corporate Director | Feb 1, 2017 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Jane Morken | Corporate Director | Feb 1, 2022 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Charles L Johnson | Corporate Director | Jan 23, 2019 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Bruce Hegge | Corporate Director | Feb 1, 2022 | |
| Adp of the SNF | Sep 19, 2025 | ||
| Kari B Adank | Corporate Officer | Feb 21, 2024 | |
| Mark Branum | 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.
-
- Family Medicine Physician
- Harmony, MN
- NPI 1598769150
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 49
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Gundersen Harmony Care Center
- Skilled Nursing Facility
- Harmony, MN
- NPI 1851437867
Bellin Gundersen Health System Inc, Gundersen Lutheran Health System Inc
-
dba Gundersen St. Elizabeth's Hospital and Clinics
- Home Health Agency
- Wabasha, MN
- NPI 1053346825
Bellin Gundersen Health System Inc, Gundersen Lutheran Health System Inc
-
dba Gundersen St. Elizabeth's Hospital and Clinics
- Skilled Nursing Facility
- Wabasha, MN
- NPI 1306864939
Bellin Gundersen Health System Inc, Gundersen Lutheran Health System Inc
-
dba Gundersen St. Elizabeth's Hospital and Clinics
- Rural Health Clinic/Center
- Wabasha, MN
- NPI 1477068914
Bellin Gundersen Health System Inc, Gundersen Lutheran Health System Inc
-
dba Gundersen St. Elizabeth's Hospital and Clinics
- Critical Access Hospital
- Wabasha, MN
- NPI 1659355600
Bellin Gundersen Health System Inc, Gundersen Lutheran Health System Inc
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
Bellin Gundersen Health System Inc
-
dba FMC Kewaunee
- Rural Health Clinic/Center
- Kewaunee, WI
- NPI 1699737379
Bellin Gundersen Health System Inc
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
Bellin Gundersen Health System Inc
-
- Rehabilitation Hospital Unit
- Green Bay, WI
- NPI 1174689178
Bellin Gundersen Health System Inc
-
- Clinic/Center
- Lansing, IA
- NPI 1417902933
Bellin Gundersen Health System Inc, Gundersen Lutheran Health System Inc
-
dba Emplify Health Onalaska Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
Bellin Gundersen Health System Inc, Gundersen Lutheran Health System Inc
-
dba Emplify Health Hospice
- Community Based Hospice Care Agency
- La Crosse, WI
- NPI 1013943893
Bellin Gundersen Health System Inc, Gundersen Lutheran Health System Inc
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.
-
- Family Medicine Physician
- Harmony, MN
- NPI 1598769150
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.