LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST NPI 1295045367

NPI Information

NPI: 1295045367
Provider Name: LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
1050 W SUPERSTITION BLVD
APACHE JUNCTION, AZ
ZIP 85120
Phone: (480) 671-3086
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LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST is a respite care in Apache Junction, AZ. The provider is definition to come. LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST NPI is 1295045367. The provider is registered as an organization entity type.

The provider's business location address is:

1050 W SUPERSTITION BLVD
APACHE JUNCTION, AZ
ZIP 85120-041
Phone: (480) 671-3086
Fax: (480) 671-3109

The provider's authorized official is Charles E. Monroe .
The authorized official title is President/ceo and has the following contact phone number (520) 748-2300.

The enumeration date for this NPI number is 10/7/2010 and was last updated on 10/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385H00000X	Respite Care		AL2663D	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	512005	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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