ST. MARKS LUTHERAN HOME
NPI 1093776395
Skilled Nursing Facility in Austin, MN

Active since March 28, 2006CLIA 24D0884163 · Waiver
400 15TH AVE SW, AUSTIN, MN 55912(507) 437-4594(507) 434-7201 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Jan 24, 2022, Jan 8, 2022 (3 updates tracked since 2022).

About St. Marks Lutheran Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. MARKS LUTHERAN HOME (NPI 1093776395), doing business as Kenwood Heritage Living, is a healthcare organization registered as a skilled nursing facility in Austin, Minnesota and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Paula Kay Rocheleau, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1093776395
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameST. MARKS LUTHERAN HOME
Location Address400 15TH AVE SWAustin, MN 55912-3232
Mailing Address400 15th Ave SwAustin, MN 55912-3232 · (507) 437-4594 · Fax (507) 434-7201
Fax(507) 434-7201
Organization SubpartNo
Authorized OfficialPaula Kay RocheleauAuthorized Agent · (320) 302-0192
Enumeration DateMarch 28, 2006
Last NPPES UpdateOctober 3, 20253 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
NPI 1093776395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MN · 328526
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License 329304 (MN)
400 15TH AVE SW, Austin, MN 55912

Other Names 1

Doing Business AsKenwood Heritage Living

Other Identifiers 1

Medicaid055842700MN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0884163

St Marks Lutheran Home · Austin, MN
Active · expires Mar 25, 2028
CLIA Number24D0884163
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorKathleen Earl
Laboratory Phone(507) 437-4594
Laboratory LocationSt Marks Lutheran Home400 15th Ave SW, Austin, MN 55912
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Marks Lutheran Home's NPI number?

The NPI number for St. Marks Lutheran Home is 1093776395. It was assigned to this organization in the NPPES registry on March 28, 2006. The provider is doing business as Kenwood Heritage Living.

Where is St. Marks Lutheran Home located?

St. Marks Lutheran Home is located at 400 15th Ave SW, Austin, MN 55912. The listed phone number is (507) 437-4594.

What is St. Marks Lutheran Home's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does St. Marks Lutheran Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0884163) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Marks Lutheran Home accept?

Health plans from HealthPartners list St. Marks Lutheran Home as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Marks Lutheran Home was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.