LUTHERAN SENIOR HEALTHCARE NPI 1689990723

NPI Information

NPI: 1689990723
Provider Name: LUTHERAN SENIOR HEALTHCARE

Doing Business As: LUTHERAN SENIOR LIFE AT JERSEY CITY

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 31D2000872

Address:
377 JERSEY AVENUE
SUITE 310
JERSEY CITY, NJ
ZIP 07302
Phone: (201) 706-2091
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LUTHERAN SENIOR HEALTHCARE is an adult day care clinic center in Jersey City, NJ. LUTHERAN SENIOR HEALTHCARE NPI is 1689990723. The provider is registered as an organization entity type.
The provider Is Doing Business As Lutheran Senior Life At Jersey City.

The provider's business location address is:

377 JERSEY AVENUE
SUITE 310
JERSEY CITY, NJ
ZIP 07302
Phone: (201) 706-2091
Fax: (201) 706-2092

The provider's authorized official is Debra Birkenstamm .
The authorized official title is Executive Director and has the following contact phone number (201) 706-2091.

The CLIA number assigned to this NPI record is 31D2000872 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2010 and was last updated on 4/14/2010.

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	261QA0600X	Clinic/Center	Adult Day Care	24396	NEW JERSEY	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

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