Lake Region Lutheran Home, Inc.
NPI 1619536976 · Assisted Living Facility · Devils Lake, ND
Lake Region Lutheran Home, Inc. is a Assisted Living Facility organization in Devils Lake, ND (NPI 1619536976).
Provider details
- NPI number
- 1619536976
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Riewer, President & Ceo(218) 291-2201
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Eventide Lake Country Manor Basic Care
Registry dates
- Enumerated
- 2019-06-11
- Last updated
- 2019-06-11
Frequently asked questions
- What is Lake Region Lutheran Home, Inc.'s NPI number?
- Lake Region Lutheran Home, Inc.'s National Provider Identifier (NPI) is 1619536976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Region Lutheran Home, Inc.?
- Lake Region Lutheran Home, Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Lake Region Lutheran Home, Inc. located?
- Lake Region Lutheran Home, Inc.'s practice location on file with NPPES is 1332 10th St Ne, Devils Lake, ND 58301-2329.
- What is Lake Region Lutheran Home, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lake Region Lutheran Home, Inc. is (701) 662-1880.
- Who is the authorized official for Lake Region Lutheran Home, Inc.?
- The authorized official listed on Lake Region Lutheran Home, Inc.'s NPPES record is Jon Riewer, President & Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Region Lutheran Home, Inc.'s NPI active?
- Yes — Lake Region Lutheran Home, Inc.'s NPI (1619536976) is active in the NPPES registry as of the last update on 2019-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.