DIAKON LUTHERAN SOCIAL MINSITRIES NPI 1174581953

NPI Information

  • NPI: 1174581953
  • Provider Name: DIAKON LUTHERAN SOCIAL MINSITRIES
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Doing Business As: ADULT DAY SERVICES AT RAVENWOOD LUTHERAN VILLAGE
  • Address: 1109 LUTHER DR
    HAGERSTOWN, MD
    ZIP 21740
  • Phone: (301) 790-1000

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NPI Details

DIAKON LUTHERAN SOCIAL MINSITRIES is a day training developmentally disabled services in Hagerstown, MD. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. DIAKON LUTHERAN SOCIAL MINSITRIES NPI is 1174581953. The provider is registered as an organization entity type.
The provider Is Doing Business As Adult Day Services At Ravenwood Lutheran Village.

The provider's business location address is:

1109 LUTHER DR
HAGERSTOWN, MD
ZIP 21740-407
Phone: (301) 790-1000

The provider's authorized official is Susan R Mchugh .
The authorized official title is Director, Resident Financial Servic and has the following contact phone number (717) 795-0309.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 5/30/2008.

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
1251C00000XDay Training, Developmentally Disabled Services13179MARYLANDYes

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
1043833200MEDICAIDMARYLAND

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: 3/30/2025

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