Active NPI
Pleasant View Luther Home, Inc
- Skilled Nursing Facility
- Ottawa, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0012864
- Legal business name
- PLEASANT VIEW LUTHER HOME, INC
- Practice address
- 505 College Ave
Ottawa, IL 61350-3865 - Phone
- (815) 434-1130
- Fax
- (815) 434-1135
- NPI assigned
- May 27, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Karl O Norem
- Title
- Administrator
- Phone
- (815) 434-1130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0012864 | IL | Primary |
Addresses
Primary practice location
505 College Ave
Ottawa, IL 61350-3865
Mailing address
505 College Ave
Ottawa, IL 61350-3865
Phone (815) 434-1130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061221000120 | IL | Part A Provider - Skilled Nursing Facility | 5890794879 | Practice locations: Ottawa, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982651741. Details of each certification follow.
Skilled nursing facility certification: CCN 145801
- Legal name
- PLEASANT VIEW LUTHER HOME INC
- Doing business as
- PLEASANT VIEW LUTHER HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Sep 1, 1994
- Last certification
- Feb 28, 2025
- Beds
- 90
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- not listed
- Organization structure
- Corporation
- Enrollment address
- 505 College Ave
Ottawa, IL 61350-3865 - Nursing home name
- PLEASANT VIEW LUTHER HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pleasant View Luther Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Sep 1, 1994
- Medicare certification status
- Active
- Certified beds
- 90
- Penalties (3 years)
- 5
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 |
|---|---|---|---|
| 14D0683420 | Pleasant View Luther Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
505 College Ave
Ottawa, IL 61350
Phone (815) 434-1130
Ownership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Lutheran Life Communities | Adp of the SNF | Dec 1, 2012 | |
| Meredith Sloan Bentley | Corporate Officer | Sep 14, 2020 | |
| Adp of the SNF | Sep 14, 2020 | ||
| Michael Renetzky | Corporate Officer | Oct 1, 2003 | |
| Adp of the SNF | Oct 1, 2003 | ||
| Terri Black | Corporate Director | May 1, 2023 | 5% |
| Adp of the SNF | May 1, 2023 | ||
| Old National Bank | Adp of the SNF | Dec 17, 1992 | |
| Amy Lacroix | Corporate Officer | Oct 3, 2022 | |
| Adp of the SNF | Oct 3, 2022 | ||
| Amy Zellers | Operational/Managerial Control | Jun 17, 2024 | |
| Adp of the SNF | Jun 17, 2024 | ||
| Thomas Management LLC | Operational/Managerial Control | Jan 20, 2022 | |
| Adp of the SNF | Nov 25, 2025 | ||
| Lutheran Life Ministries | Adp of the SNF | Dec 1, 2012 | |
| Robert B Maguire | Operational/Managerial Control | Apr 1, 2020 | |
| Adp of the SNF | Apr 1, 2020 | ||
| Select Rehabilitation, LLC | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Nov 25, 2025 | ||
| Richter and Associates | Operational/Managerial Control | Nov 1, 2022 | |
| Adp of the SNF | May 4, 2026 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Ottawa, IL
- NPI 1174571673
Adp of the SNF, Operational/Managerial Control
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 9
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Bloomington, IL
- NPI 1639520034
Select Rehabilitation, LLC, Thomas Management LLC
-
- Skilled Nursing Facility
- Arlington Heights, IL
- NPI 1487641064
Richter and Associates, Select Rehabilitation, LLC, Thomas Management LLC
-
dba Bethesda Dilworth
- Skilled Nursing Facility
- Saint Louis, MO
- NPI 1114993391
Select Rehabilitation, LLC
-
dba Bethesda Southgate
- Skilled Nursing Facility
- Saint Louis, MO
- NPI 1750357950
Select Rehabilitation, LLC
-
- Skilled Nursing Facility
- Hamilton, OH
- NPI 1275534265
Select Rehabilitation, LLC
-
- Skilled Nursing Facility
- Hamilton, OH
- NPI 1376535286
Select Rehabilitation, LLC
-
dba Jamestowne Rehab
- Skilled Nursing Facility
- Hamilton, OH
- NPI 1679022917
Select Rehabilitation, LLC
-
- Nursing Facility/Intermediate Care Facility
- Centerville, OH
- NPI 1851387047
Richter and Associates
-
dba Luther Manor
- Skilled Nursing Facility
- Milwaukee, WI
- NPI 1639339518
Select Rehabilitation, LLC
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982651741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 COLLEGE AVE",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613503865",
"telephone_number": "815-434-1130",
"fax_number": "815-434-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 COLLEGE AVE",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613503865",
"telephone_number": "815-434-1130",
"fax_number": "815-434-1135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT VIEW LUTHER HOME, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NOREM",
"authorized_official_first_name": "KARL",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "815-434-1130",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0012864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, IL
Sources for this page
- 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.