LUTHERAN SOCIAL SERVICE NPI 1134281629

NPI Information

NPI: 1134281629
Provider Name: LUTHERAN SOCIAL SERVICE
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
925 AMBLE RD
SHOREVIEW, MN
ZIP 55126
Phone: (218) 824-3744
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LUTHERAN SOCIAL SERVICE is an intermediate care facility mentally retarded in Shoreview, MN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. LUTHERAN SOCIAL SERVICE NPI is 1134281629. The provider is registered as an organization entity type.

The provider's business location address is:

925 AMBLE RD
SHOREVIEW, MN
ZIP 55126-216
Phone: (218) 824-3744
Fax: (218) 829-9217

The provider's authorized official is Jeri Schoonover .
The authorized official title is Vice President and has the following contact phone number (651) 642-5990.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		801437	MINNESOTA	Yes

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

NPI Synchronization or Removal

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