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LUTHERAN MEMORIAL HOME NPI 1780613794


NPI Profile

NPI: 1780613794
Provider Name: LUTHERAN MEMORIAL HOME
Classification:Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
795 BARDSHAR RD
SANDUSKY, OH
ZIP 44870
Get Directions

Phone: (419) 625-4046

LUTHERAN MEMORIAL HOME is a skilled nursing facility in Sandusky, OH. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. LUTHERAN MEMORIAL HOME NPI is 1780613794. The provider is registered as an organization entity type.

The provider's business location address is:

795 BARDSHAR RD
SANDUSKY, OH
ZIP 44870-505
Phone: (419) 625-4046
Fax: (419) 625-0821

The provider's authorized official is Mary M Shurts .
The authorized official title is Treasurer and has the following contact phone number (419) 861-4990.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 4/20/2008.


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
1314000000XSkilled Nursing Facility2854OHIOYes

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
1000000283851OTHEROHIOANTHEM BC/BS
2=========-00OTHEROHIOBUREAU WORKERS COMP
3=========OTHEROHIOMEDICAL MUTUAL
42134381MEDICAIDOHIO
53780707OTHEROHIOCIGNA
6366219MEDICARE ID-TYPE UNSPECIFIEDOHIO

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: 5/9/2021

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