LUTHER MEMORIAL HOME
NPI 1497755185
Skilled Nursing Facility in Mayville, ND

Active since July 26, 2005CLIA 35D0408596 · Waiver
3/5
Overall Rating
750 MAIN ST E, MAYVILLE, ND 58257(701) 786-3401(701) 786-9022 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Luther Memorial Home NPPES

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

LUTHER MEMORIAL HOME (NPI 1497755185) is a healthcare organization registered as a skilled nursing facility in Mayville, North Dakota and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Brett Ulrich, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497755185
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLUTHER MEMORIAL HOME
Location Address750 MAIN ST EMayville, ND 58257-1606
Mailing Address750 Main St EMayville, ND 58257-1606 · (701) 786-3401 · Fax (701) 786-9022
Fax(701) 786-9022
Organization SubpartNo
Authorized OfficialBrett UlrichAdministrator · (701) 786-3401
Enumeration DateJuly 26, 2005
Last NPPES UpdateOctober 11, 2007
NPI 1497755185 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 ND · 1039A
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 027 (ND), AL23 (ND)
750 MAIN ST E, Mayville, ND 58257

Other Identifiers 6

Medicare ID-Type Unspecified355040ND
Other9846LUMN · Mn Blue Cross Blue Shield
Medicare ID-Type Unspecified1289900001ND · 1500 Medicare Forms
Medicaid30024ND
Other001115ND · Nd Blue Cross Blue Shield
Medicaid3050271 00MN

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 35D0408596

Luther Memorial Home · Mayville, ND
Active · expires Aug 31, 2026
CLIA Number35D0408596
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrittany Ness
Laboratory Phone(701) 786-3401
Laboratory LocationLuther Memorial Home750 Main St E, Mayville, ND 58257
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 Luther Memorial Home (CMS certification number 355040), from CMS Care Compare.

Luther Memorial Home

Nursing home · Mayville, ND
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number355040
Certified Beds70 beds59 residents per day on average
Medicare & Medicaid Participant SinceJune 1, 1978
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
47.5
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 3.79 · LPN 0.8 · RN 0.99
5.58 hrs per resident per day
Weekend Nurse Staffing
4.81 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
42.9%
Registered Nurse Turnover
14.3%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Infection-Control Citations
0
Fines
1 totaling $5,814.25
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Luther Memorial Home's NPI number?

The NPI number for Luther Memorial Home is 1497755185. It was assigned to this organization in the NPPES registry on July 26, 2005.

Where is Luther Memorial Home located?

Luther Memorial Home is located at 750 Main St E, Mayville, ND 58257. The listed phone number is (701) 786-3401.

What is Luther Memorial Home's specialty?

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

Does Luther Memorial Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D0408596) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Luther Memorial Home a Medicare-certified nursing home?

Yes. Luther Memorial Home is a Medicare-certified nursing home with 70 certified beds.

What quality rating does Luther Memorial Home have?

CMS rates Luther Memorial Home 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Luther Memorial Home accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Luther Memorial 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 Luther Memorial Home was last updated on October 11, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.