LUTHERAN NURSING HOME
NPI 1760475842
Skilled Nursing Facility in Concordia, MO

Active since August 24, 2005CLIA 26D0442602 · Waiver
202 S WEST ST, CONCORDIA, MO 64020(660) 463-2267(660) 463-7116 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lutheran Nursing Home NPPES

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

LUTHERAN NURSING HOME (NPI 1760475842) is a healthcare organization registered as a skilled nursing facility in Concordia, Missouri and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Paul Alan Tebbenkamp, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1760475842
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLUTHERAN NURSING HOME
Location Address202 S WEST STConcordia, MO 64020-9643
Mailing Address202 S West St, P.o. Box 849Concordia, MO 64020-9643 · (660) 463-2267 · Fax (660) 463-7116
Fax(660) 463-7116
Organization SubpartNo
Authorized OfficialPaul Alan TebbenkampOffice Manager · (660) 463-2267
Enumeration DateAugust 24, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1760475842 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 MO · 029282
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.

202 S WEST ST, Concordia, MO 64020

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 26D0442602

Lutheran Good Shepherd Home · Concordia, MO
Active · expires Aug 31, 2026
CLIA Number26D0442602
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSherry Graham
Laboratory Phone(660) 463-2267
Laboratory LocationLutheran Good Shepherd Home202 South West, Concordia, MO 64020
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Physical Therapy Assistant
202 S WEST ST
CONCORDIA, MO 64020
Physical Therapy Assistant
202 S WEST ST
CONCORDIA, MO 64020
Assisted Living Facility
202 S WEST ST
CONCORDIA, MO 64020
Skilled Nursing Facility
202 S WEST ST
CONCORDIA, MO 64020
Nurse Practitioner
202 S WEST ST
CONCORDIA, MO 64020

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 Nursing Home's NPI number?

The NPI number for Lutheran Nursing Home is 1760475842. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Lutheran Nursing Home located?

Lutheran Nursing Home is located at 202 S West St, Concordia, MO 64020. The listed phone number is (660) 463-2267.

What is Lutheran Nursing Home's specialty?

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

Does Lutheran Nursing Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0442602) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lutheran Nursing Home accept?

Health plans from UnitedHealthcare list Lutheran Nursing 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 Lutheran Nursing Home was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.