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LUTHERAN HOME OF SOUTHBURY INC
NPI 1376543751
Skilled Nursing Facility in Southbury, CT

Active since July 27, 2005CLIA 07D0690151 · Waiver
4/5
Overall Rating
990 MAIN ST N, SOUTHBURY, CT 06488(203) 264-9135(203) 262-6714 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lutheran Home Of Southbury Inc NPPES

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

LUTHERAN HOME OF SOUTHBURY INC (NPI 1376543751) is a healthcare organization registered as a skilled nursing facility in Southbury, Connecticut and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Wesley Bard, Ceo Administrator, as its authorized official.

NPPES Registry Identity

NPI1376543751
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLUTHERAN HOME OF SOUTHBURY INC
Location Address990 MAIN ST NSouthbury, CT 06488-1267
Mailing Address990 Main St NSouthbury, CT 06488-1267 · (203) 264-9135 · Fax (203) 262-6714
Phone(203) 264-9135
Fax(203) 262-6714
Organization SubpartNo
Authorized OfficialWesley BardCeo Administrator · (203) 264-9135
Enumeration DateJuly 27, 2005
Last NPPES UpdateNovember 27, 2007
✔ NPI 1376543751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in CT · 699C
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.
990 MAIN ST N, Southbury, CT 06488
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified075371CT

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 07D0690151

Lutheran Home Of Southbury · Southbury, CT
Active · expires Aug 31, 2026
CLIA Number07D0690151
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Ghulam I. Ishaq Khan
Laboratory Phone(203) 264-9135
Laboratory LocationLutheran Home Of Southbury990 Main St No, Southbury, CT 06488
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Lutheran Home Of Southbury Inc (CMS certification number 075371), from CMS Care Compare.

Lutheran Home Of Southbury Inc

Nursing home · Southbury, CT
4/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number075371
Certified Beds120 beds116 residents per day on average
Medicare & Medicaid Participant SinceOctober 1, 1991
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
27.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.41 · LPN 0.91 · RN 0.7
4.02 hrs per resident per day
Weekend Nurse Staffing
3.43 hrs per resident per day
Physical Therapist Staffing
0.13 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
43.4%
Registered Nurse Turnover
52.2%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA JOY ANTHONY COTA/L
Occupational Therapy Assistant
990 MAIN ST N
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-9135
MICHELLE ROXANNE LABRECQUE M.A. CCC-SLP
Speech-Language Pathologist
990 MAIN ST N
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-9135
MEGAN SHEPARD
Occupational Therapist (Gerontology)
990 MAIN ST N
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-9135
SOUTHBURY HEALTH GROUP LLC
Skilled Nursing Facility
990 MAIN ST N
SOUTHBURY, CT 06488
Naugatuck Valley Planning Region (203) 264-9135

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 Lutheran Home Of Southbury Inc's NPI number?

The NPI number for Lutheran Home Of Southbury Inc is 1376543751. It was assigned to this organization in the NPPES registry on July 27, 2005.

Where is Lutheran Home Of Southbury Inc located?

Lutheran Home Of Southbury Inc is located at 990 Main St N, Southbury, CT 06488. The listed phone number is (203) 264-9135.

What is Lutheran Home Of Southbury Inc's specialty?

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

Does Lutheran Home Of Southbury Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0690151) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lutheran Home Of Southbury Inc a Medicare-certified nursing home?

Yes. Lutheran Home Of Southbury Inc is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Lutheran Home Of Southbury Inc have?

CMS rates Lutheran Home Of Southbury Inc 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Lutheran Home Of Southbury Inc was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.