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LAKESIDE LUTHERAN HOME
NPI 1902981061
Skilled Nursing Facility in Emmetsburg, IA

Active since October 26, 2006CLIA 16D0384303 · Waiver
2/5
Overall Rating
301 N LAWLER ST, EMMETSBURG, IA 50536(712) 852-4060(712) 852-9914 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lakeside Lutheran Home NPPES

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

LAKESIDE LUTHERAN HOME (NPI 1902981061) is a healthcare organization registered as a skilled nursing facility in Emmetsburg, Iowa and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Larry E Porath, President, as its authorized official.

NPPES Registry Identity

NPI1902981061
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKESIDE LUTHERAN HOME
Location Address301 N LAWLER STEmmetsburg, IA 50536-1073
Mailing Address301 N Lawler StEmmetsburg, IA 50536-1073 · (712) 852-4060 · Fax (712) 852-9914
Phone(712) 852-4060
Fax(712) 852-9914
Organization SubpartNo
Authorized OfficialLarry E PorathPresident · (712) 852-4060
Enumeration DateOctober 26, 2006
Last NPPES UpdateDecember 21, 2011
✔ NPI 1902981061 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 IA · 740436
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 ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License 740436 (IA)
301 N LAWLER ST, Emmetsburg, IA 50536
Open in Google Maps ↗

Other Names 1

Doing Business AsLakeside Lutheran Home

Other Identifiers 2

Medicare OSCAR/certification165492IA
Medicaid0802181IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 16D0384303

Lakeside Lutheran Home · Emmetsburg, IA
Active · expires Aug 31, 2028
CLIA Number16D0384303
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorTara Jagodzinske
Laboratory Phone(712) 852-4060
Laboratory LocationLakeside Lutheran Home301 North Lawler Street, Emmetsburg, IA 50536
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 Lakeside Lutheran Home (CMS certification number 165492), from CMS Care Compare.

Lakeside Lutheran Home

Nursing home · Emmetsburg, IA
2/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number165492
Certified Beds55 beds38 residents per day on average
Medicare & Medicaid Participant SinceNovember 6, 2003
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.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
30
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 2.48 · LPN 0.67 · RN 0.46
3.61 hrs per resident per day
Weekend Nurse Staffing
3.07 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
41%
Registered Nurse Turnover
44.4%
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
4
Fines
1 totaling $650.00
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 Lakeside Lutheran Home's NPI number?

The NPI number for Lakeside Lutheran Home is 1902981061. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Lakeside Lutheran Home located?

Lakeside Lutheran Home is located at 301 N Lawler St, Emmetsburg, IA 50536. The listed phone number is (712) 852-4060.

What is Lakeside Lutheran Home's specialty?

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

Does Lakeside Lutheran Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0384303) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lakeside Lutheran Home a Medicare-certified nursing home?

Yes. Lakeside Lutheran Home is a Medicare-certified nursing home with 55 certified beds.

What quality rating does Lakeside Lutheran Home have?

CMS rates Lakeside Lutheran Home 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Lakeside Lutheran Home accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Lakeside Lutheran 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 Lakeside Lutheran Home was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.