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COLE COUNTY LUTHERAN HOME ASSOCIATION NPI 1932320090


NPI Information

NPI: 1932320090
Provider Name: COLE COUNTY LUTHERAN HOME ASSOCIATION

Doing Business As: LUTHERAN SENIOR SERVICES AT HEISINGER BLUFFS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1002 W MAIN ST
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 636-6288
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COLE COUNTY LUTHERAN HOME ASSOCIATION is an assisted living facility in Jefferson City, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COLE COUNTY LUTHERAN HOME ASSOCIATION NPI is 1932320090. The provider is registered as an organization entity type.
The provider Is Doing Business As Lutheran Senior Services At Heisinger Bluffs.

The provider's business location address is:

1002 W MAIN ST
JEFFERSON CITY, MO
ZIP 65109-901
Phone: (573) 636-6288
Fax: (573) 636-9306

The provider's authorized official is Chadwick Sneed .
The authorized official title is Sr Vice President Of Finance and has the following contact phone number (314) 446-2405.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 8/25/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility031187MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1263741209MEDICAIDMISSOURI

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: 4/28/2024

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