HEARTLAND CARE CENTER
NPI 1689667834
Nursing Facility/Intermediate Care Facility in Devils Lake, ND

Active since August 23, 2005CLIA 35D0717804 · Waiver
1/5
Overall Rating
620 14TH AVE NE, DEVILS LAKE, ND 58301(701) 662-4905(701) 662-9170 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Heartland Care Center NPPES

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

HEARTLAND CARE CENTER (NPI 1689667834) is a healthcare organization registered as a nursing facility/intermediate care facility in Devils Lake, North Dakota and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Karissa Olson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689667834
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameLAKE REGION LUTHERAN HOME, INC.
Location Address620 14TH AVE NEDevils Lake, ND 58301-2808
Mailing Address620 14th Ave NeDevils Lake, ND 58301-2808 · (701) 662-4905 · Fax (701) 662-9170
Fax(701) 662-9170
Organization SubpartNo
Authorized OfficialKarissa OlsonCeo · (701) 662-4905
Enumeration DateAugust 23, 2005
Last NPPES UpdateJuly 10, 2014
✔ NPI 1689667834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in ND · 1013A
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
620 14TH AVE NE, Devils Lake, ND 58301

Other Names 1

Doing Business AsHeartland Care Center

Other Identifiers 2

MedicaidD30010ND
Medicare OSCAR/certification355069ND

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 35D0717804

Heartland Care Center · Devils Lake, ND
Active · expires Aug 31, 2028
CLIA Number35D0717804
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDestiney Coenen
Laboratory Phone(701) 662-4905
Laboratory LocationHeartland Care Center620 14th Ave NE, Devils Lake, ND 58301
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 Eventide Heartland (CMS certification number 355069), from CMS Care Compare.

Eventide Heartland

Nursing home · Devils Lake, ND
1/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number355069
Certified Beds83 beds71 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 1978
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
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.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
60.5
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.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
6
Infection-Control Citations
7
Fines
2 totaling $74,041.50
Medicare Payment Denials
0
Total Penalties
2
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

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

Physical Therapist
620 14TH AVE NE
DEVILS LAKE, ND 58301

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 Lake Region Lutheran Home, Inc.'s NPI number?

The NPI number for Lake Region Lutheran Home, Inc. is 1689667834. It was assigned to this organization in the NPPES registry on August 23, 2005. The provider is doing business as Heartland Care Center.

Where is Lake Region Lutheran Home, Inc. located?

Lake Region Lutheran Home, Inc. is located at 620 14th Ave NE, Devils Lake, ND 58301. The listed phone number is (701) 662-4905.

What is Lake Region Lutheran Home, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Lake Region Lutheran Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D0717804) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lake Region Lutheran Home, Inc. a Medicare-certified nursing home?

Yes. Eventide Heartland is a Medicare-certified nursing home with 83 certified beds.

What quality rating does Lake Region Lutheran Home, Inc. have?

CMS rates Eventide Heartland 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Lake Region Lutheran Home, Inc. accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Lake Region Lutheran Home, Inc. 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 Lake Region Lutheran Home, Inc. was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.