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

Lake Region Lutheran Home, Inc

Organization Assisted Living Facility · NPI 1619536976

Lake Region Lutheran Home, Inc is an Assisted Living Facility in Devils Lake, North Dakota. Registered with an NPI since 2019.

In the registry since
2019
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

1332 10th St NE
Devils Lake, ND 58301-2329
Phone: (701) 662-1880
Fax: (701) 662-1084
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1619536976
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Riewer — President & Ceo · (218) 291-2201
Other names Eventide Lake Country Manor Basic Care
NPI enumeratedJune 11, 2019
Last updated in NPPESJune 11, 2019
Mailing address801 Main Ave Ste 201, Moorhead, MN 56560-2871

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