LUTHERAN HOME FOR THE AGED NPI 1720195431

NPI Information

NPI: 1720195431
Provider Name: LUTHERAN HOME FOR THE AGED

Other Name: LUTHERAN HOME HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2825 BLOOMFIELD RD
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 334-1515
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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
1	251G00000X	Hospice Care, Community Based		134-2HO	MISSOURI	Yes

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
1	134-2HO	OTHER	MISSOURI	STATE 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: 4/28/2024

NPI Synchronization or Removal

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