Luther Home

LBN: American Lutheran Church-Northland Luthern Services For The Elderly, I
Luther Home is an health care organization with primary practice located at 831 Pine Beach Rd , Marinette WI 54143-4225. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. American Lutheran Church-Northland Luthern Services For The Elderly, I can be contacted via phone (715) 732-0155, or through Gustafson, Gary via phone (715) 732-0155.

Contact Information

Primary practice address
831 Pine Beach Rd Marinette WI 54143-4225
Phone: (715) 732-0155
Fax: (715) 732-5899
Website:
Map and Directions
Authorized official contact:
Name: Gustafson, Gary
Phone: (715) 732-0155

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2155 Wisconsin

Profile Details

NPI number 1376546762
LBN Legal business name American Lutheran Church-Northland Luthern Services For The Elderly, I
DBA Doing business as Luther Home
Authorized official Gustafson, Gary
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Aug 22nd, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376546762 NPPES
Wisconsin MEDICAID 20126700

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