Lutheran Social Service in Brainerd - Intermediate Care Facility, Intellectual Disabilities
Lutheran Social Service - NPI 1134281629
Lutheran Social Service is a Intermediate Care Facility, Intellectual Disabilities in Brainerd, Minnesota. Lutheran Social Service practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Lutheran Social Service is 1134281629. The last update date is 2020-08-22.
Lutheran Social Service's current location address is 716 E St Ne, Brainerd, Minnesota. You can contact this provider via phone number 2188243744 and fax number 2188299217. The mailing address for Lutheran Social Service is 716 E St Ne, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lutheran Social Service |
|---|---|
| Address | 716 E St Ne, Brainerd, Minnesota |
| Phone Number | 2188243744 |
| Fax Number | 2188299217 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Schoonover Jeri |
| Telephone Number | 6516425990 |
NPI Number Detail
| NPI Number | 1134281629 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 716 E St Ne |
|---|---|
| City | Brainerd |
| State | Minnesota (MN) |
| Post Code | 564012857 |
| Phone Number | 2188243744 |
| Fax Number | 2188299217 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 801437 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique 10-digit identification code issued to Lutheran Social Service by the Centers for Medicare & Medicaid Services?
The Lutheran Social Service has been assigned the NPI (National Provider Identifier) 1134281629 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Lutheran Social Service is geographically located?
The Lutheran Social Service is physically situated at the following location: 716 E St Ne, Brainerd, MN, 564012857.
What is Lutheran Social Service's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lutheran Social Service's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Lutheran Social Service receive the assignment of its 1134281629 from the Centers for Medicare & Medicaid Services?
The Lutheran Social Service was issued its 1134281629 by the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the information regarding Lutheran Social Service most recently updated?
The details pertaining to the Lutheran Social Service, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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