Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fond Du Lac Lutheran Home, Inc

Organization Assisted Living Facility · NPI 1649266404

Fond Du Lac Lutheran Home, Inc is an Assisted Living Facility in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

244 N Macy St
Fond Du Lac, WI 54935-3362
Phone: (920) 951-9520
Fax: (920) 921-0819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 0047 (WI)
Assisted Living Facility Taxonomy 310400000X

Record details

NPI number1649266404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Marks — Cfo · (920) 261-0400
Other names Fond Du Lac Lutheran Home; Lutheran Home And Health Services; Tarfa Terrace; Wellness And Rehab Center
NPI enumeratedSeptember 26, 2005
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address244 N Macy St, Fond Du Lac, WI 54935-3362

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