LUTHERAN HOME FOR THE AGED NPI 1215061114

NPI Information

  • NPI: 1215061114
  • Provider Name: LUTHERAN HOME FOR THE AGED
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 2825 BLOOMFIELD RD
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Phone: (573) 335-0158

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NPI Details

LUTHERAN HOME FOR THE AGED is an assisted living facility in Cape Girardeau, 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. LUTHERAN HOME FOR THE AGED NPI is 1215061114. The provider is registered as an organization entity type.

The provider's business location address is:

2825 BLOOMFIELD RD
CAPE GIRARDEAU, MO
ZIP 63703-335
Phone: (573) 335-0158
Fax: (573) 986-6312

The provider's authorized official is Patrick Mccann .
The authorized official title is Controller and has the following contact phone number (573) 335-0158.

The enumeration date for this NPI number is 3/15/2007 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
1310400000XAssisted Living FacilityMISSOURIYes

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: 11/21/2025

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