LUTHERAN HOME FOR THE AGED NPI 1720195431

NPI Information

  • NPI: 1720195431
  • Provider Name: LUTHERAN HOME FOR THE AGED
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Other Name: LUTHERAN HOME HOSPICE
  • Address: 2825 BLOOMFIELD RD
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Phone: (573) 334-1515

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NPI Details

LUTHERAN HOME FOR THE AGED is a hospice care community based in Cape Girardeau, MO. LUTHERAN HOME FOR THE AGED NPI is 1720195431. The provider is registered as an organization entity type.
The provider Other Name Is Lutheran Home Hospice.

The provider's business location address is:

2825 BLOOMFIELD RD
CAPE GIRARDEAU, MO
ZIP 63703-335
Phone: (573) 334-1515
Fax: (573) 986-6216

The provider's authorized official is Jackie S Payne .
The authorized official title is Cfo and has the following contact phone number (573) 335-0158.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 3/6/2023.

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
1251G00000XHospice Care, Community Based134-2HOMISSOURIYes

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
1134-2HOOTHERMISSOURISTATE LICENSE

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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