Immanuel Lutheran Home
LBN: Immanuel Lutheran Corporation
Immanuel Lutheran Home is an health care organization with primary practice located at 185 Crestline Ave , Kalispell MT 59901-3573. 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.
Immanuel Lutheran Corporation can be contacted via phone (406) 752-9622, or through Gendreau, Keith via phone (406) 752-9622.
Contact Information
Primary practice address
185 Crestline Ave
Kalispell MT 59901-3573
Phone: (406) 752-9622
Fax: (406) 752-9615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 10077 | Montana |
Profile Details
| NPI number | 1649279183 |
|---|---|
| LBN Legal business name | Immanuel Lutheran Corporation |
| DBA Doing business as | Immanuel Lutheran Home |
| Authorized official | Gendreau, Keith LNHA CEO,CALA, FELLO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Dec 20th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649279183 | NPPES |
| Montana | MEDICAID | 0534430 | |
| Montana | Other | 40632 | |
| Montana | MEDICAID | 0348023 | |
| Montana | MEDICAID | 0313300 | |
| Montana | MEDICAID | 0347815 |
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