The Village At Luther Square

LBN: Lutheran Home For The Aged
The Village At Luther Square is an health care organization with primary practice located at 149 W 22Nd St , Erie PA 16502-2804. 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. Lutheran Home For The Aged can be contacted via phone (814) 452-3271, or through Gusek, Mark J. via phone (814) 452-3271.

Contact Information

Primary practice address
149 W 22Nd St Erie PA 16502-2804
Phone: (814) 452-3271
Fax: (814) 456-0383
Website:
Map and Directions
Authorized official contact:
Name: Gusek, Mark J.
Phone: (814) 452-3271

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 382602 Pennsylvania

Profile Details

NPI number 1891792354
LBN Legal business name Lutheran Home For The Aged
DBA Doing business as The Village At Luther Square
Authorized official Gusek, Mark J.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 3rd, 2011 - about 13 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 1891792354 NPPES
Pennsylvania Other 0648 BLUE CROSS PROVIDER NO.
Pennsylvania MEDICAID 1007767250002 BLUE CROSS PROVIDER NO.

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