Lake Region Lutheran Home, Inc. in Devils Lake - Nursing Facility/intermediate Care Facility
Lake Region Lutheran Home, Inc. - NPI 1689667834
Lake Region Lutheran Home, Inc. is a Nursing Facility/intermediate Care Facility in Devils Lake, North Dakota. Lake Region Lutheran Home, Inc. practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Lake Region Lutheran Home, Inc. is 1689667834. The last update date is 2014-07-10.
Lake Region Lutheran Home, Inc.'s current location address is 620 14th Ave Ne, Devils Lake, North Dakota. You can contact this provider via phone number 7016624905 and fax number 7016629170. The mailing address for Lake Region Lutheran Home, Inc. is 620 14th Ave Ne, Devils Lake, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Region Lutheran Home, Inc. |
|---|---|
| Address | 620 14th Ave Ne, Devils Lake, North Dakota |
| Phone Number | 7016624905 |
| Fax Number | 7016629170 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Olson Karissa |
| Credentials | LNHA |
| Telephone Number | 7016624905 |
NPI Number Detail
| NPI Number | 1689667834 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2014-07-10 |
Provider Mailing Address Detail
| Address | 620 14th Ave Ne |
|---|---|
| City | Devils Lake |
| State | North Dakota (ND) |
| Post Code | 583012808 |
| Phone Number | 7016624905 |
| Fax Number | 7016629170 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 1013A |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D30010 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lake Region Lutheran Home, Inc. by the Centers for Medicare & Medicaid Services?
The Lake Region Lutheran Home, Inc. has been issued the NPI (National Provider Identifier) 1689667834, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lake Region Lutheran Home, Inc. is geographically located?
The Lake Region Lutheran Home, Inc. is physically situated at the following location: 620 14Th Ave Ne, Devils Lake, ND, 583012808.
What is Lake Region Lutheran Home, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lake Region Lutheran Home, Inc. is Nursing Facility/intermediate Care Facility, and the taxonomy code that categorizes this field of expertise is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689667834 to Lake Region Lutheran Home, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1689667834 to Lake Region Lutheran Home, Inc. on 2005-08-23.
As of what date were the details pertaining to Lake Region Lutheran Home, Inc. last refreshed?
The information related to the Lake Region Lutheran Home, Inc., including its address, specialty, and other relevant details, was last updated on 2014-07-10.