There is a long history of Lutherans working together to provide spiritual and social services to people beyond congregational members in the Thunder Bay area. As early as 1959 a Lutheran institutional chaplain existed. Organizations such as the Lutheran Welfare Committee and Lakehead Lutheran Social Services were forerunners to the Lutheran Community Care Centre's establishment in 1979.
For the first five years a managing board utilized volunteers and project funding to offer services to the community. In 1982 the fledgling agency received its first permanent government contract from the Ontario government to employ an Adult Protective Service Worker to serve adults with a developmental disability. In 1983 a "Forward in Remembrance" grant from the Lutheran Church - Missouri Synod enabled the Care Centre to employ its first Executive Director. That same year Lutheran Chaplaincy Services became a program of the Care Centre solidifying the dual focus on both spiritual and social concerns. As the credibility of the organization grew in the 1980's so did the service contracts with the Ontario government. Services to adults with a developmental disability became a significant focus of the organization but other service areas included trusteeship services, social services to seniors and counseling. Helping individuals with their housing needs grew to the point where in 1988 a separate corporation, Lutheran Community Housing Corporation was started. In the mid-1990's the social work staff become unionized and are represented by the Ontario Public Service Employees Union. The increasing complexity of the organization moves the board gradually toward greater governance through policy development.
Throughout its history the Lutheran Community Care Centre remains responsive to changing community needs by introducing new programs and winding down others. Street Reach Ministries was established in 2004. In July, 2011 the Lutheran Community Care Centre was designated as the Application Entity for the Northern Region under the Services and Supports to Promote the Social Inclusion of Persons with Developmental Disabilities Act, 2008. The Centre also became the provider for the direct funding program called Passport in 2011 for the Northern Region. New satellite offices were established in Dryden, Sault Ste. Marie and Sudbury joining an already existing satellite office in Marathon. These regional programs required the establishment of bilingual services.
With the new regional roles for the Care Centre the governance structure has changed resulting in 4 director positions being drawn from various stakeholder groups across the Northern Region. The remaining 11 positions continue to be filled by representatives of the member congregations.