Wisconsin Lutheran Home Ministries Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3084 Issued in WI

Legal business name

WISCONSIN LUTHERAN HOME MINISTRIES INC.

Doing business as

The Lutheran Home River Falls

Practice address

640 N Main St
River Falls, WI 54022-1537

Phone

(715) 425-5353

Fax

(715) 425-9911

NPI assigned

Apr 6, 2007

Last updated

Feb 17, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

LUTHERAN HOMEAs reported in NPPES

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

Authorized official

Name

Merilee Johnson

Title

Administrator

Phone

(715) 425-5353

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Lutheran Home River Falls Doing business as

Part of

The Lutheran Home Cedar Haven

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.

• The Lutheran Home, Inc.

  • Skilled Nursing Facility
  • Wauwatosa, WI
  • NPI 1285633743
  NPPES parent name

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1962524272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N MAIN ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540221537",
            "telephone_number": "715-425-5353",
            "fax_number": "715-425-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N MAIN ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540221537",
            "telephone_number": "715-425-5353",
            "fax_number": "715-425-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN LUTHERAN HOME MINISTRIES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN HOME",
        "enumeration_date": "2007-04-06",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MERILEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-425-5353"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20169900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lutheran Home River Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Alan Wessels, M.D.
• Western Wisconsin Medical Associates (Vibrant Health Family Clinics)
• Tyler Jacob Weyer, MD
• David M Wilhelm, MD
• Jeb Aaron Wilson, PHARM.D.
• Renata Wood
• Kathleen Marie Young, P.T.

• Skilled Nursing Facility in River Falls, WI
• Providers in River Falls, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.