Fond Du Lac Lutheran Home, Inc.
NPI 1649266404ActiveOrganization· Skilled Nursing Facility· Fond Du Lac, WI
Skilled Nursing Facility in Fond Du Lac, Wisconsin, registered in NPPES in September 2005. The authorized official on file is Julie Anne Marks, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1649266404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2005 |
| Last updated in NPPES | Jul 10, 2026 |
| Certified by provider | Jul 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 0047 | WI |
| Assisted Living Facility | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (WI) |
|---|
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