ST. JOHN LUTHERAN HOME
NPI 1649266560
Skilled Nursing Facility in Springfield, MN

Active since September 26, 2005CLIA 24D0651550 · Waiver
201 S COUNTY ROAD 5, SPRINGFIELD, MN 56087(507) 723-3200(507) 723-6429 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. John Lutheran Home NPPES

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

ST. JOHN LUTHERAN HOME (NPI 1649266560) is a healthcare organization registered as a skilled nursing facility in Springfield, Minnesota and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Joshua Jensen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649266560
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameST. JOHN LUTHERAN HOME
Location Address201 S COUNTY ROAD 5Springfield, MN 56087-2102
Mailing Address201 S County Road 5Springfield, MN 56087-2102 · (507) 723-3200 · Fax (507) 723-6429
Fax(507) 723-6429
Organization SubpartNo
Authorized OfficialJoshua JensenCeo · (507) 723-3200
Enumeration DateSeptember 26, 2005
Last NPPES UpdateJune 11, 2008
NPI 1649266560 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 MN · 328426
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.
201 S COUNTY ROAD 5, Springfield, MN 56087

Other Identifiers 4

Other8717 JOMN · Blue Cross Provider
Medicare ID-Type Unspecified245407MN
OtherNH0374MN · Scha - Ucare
Medicaid346740600MN

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 24D0651550

St John Lutheran Home · Springfield, MN
Active · expires Aug 31, 2026
CLIA Number24D0651550
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJudy Pautzke
Laboratory Phone(507) 723-3200
Laboratory LocationSt John Lutheran Home201 South County Road 5, Springfield, MN 56087
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dietitian, Registered
201 S COUNTY ROAD 5
SPRINGFIELD, MN 56087

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. John Lutheran Home's NPI number?

The NPI number for St. John Lutheran Home is 1649266560. It was assigned to this organization in the NPPES registry on September 26, 2005.

Where is St. John Lutheran Home located?

St. John Lutheran Home is located at 201 S County Road 5, Springfield, MN 56087. The listed phone number is (507) 723-3200.

What is St. John Lutheran Home's specialty?

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

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

Yes. A Certificate of Waiver (number 24D0651550) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. John Lutheran Home was last updated on June 11, 2008. 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.