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LUTHERAN HOMES SOCIETY INC. NPI 1245262799


NPI Information

NPI: 1245262799
Provider Name: LUTHERAN HOMES SOCIETY, INC.

Doing Business As: GENACROSS LUTHERAN SERVICES FAMILY AND YOUTH

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization

CLIA Number: 36D2140578

Address:
1905 PERRYSBURG HOLLAND RD
HOLLAND, OH
ZIP 43528
Phone: (419) 693-1520
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LUTHERAN HOMES SOCIETY, INC. is a residential treatment facility emotionally disturbed children in Holland, OH. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. LUTHERAN HOMES SOCIETY, INC. NPI is 1245262799. The provider is registered as an organization entity type.
The provider Is Doing Business As Genacross Lutheran Services Family And Youth.

The provider's business location address is:

1905 PERRYSBURG HOLLAND RD
HOLLAND, OH
ZIP 43528-582
Phone: (419) 693-1520
Fax: (419) 693-3295

The provider's authorized official is Lorinda Schalk .
The authorized official title is Cfo/treasurer and has the following contact phone number (419) 861-4906.

The CLIA number assigned to this NPI record is 36D2140578 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 8/7/2019.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenOHIOYes

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
110210OTHEROHIOMACSIS IDENTIFIER

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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