Davenport Lutheran Home

LBN: Lutheran Home For The Aged Association-East
Davenport Lutheran Home is an health care organization with primary practice located at 1130 W 53Rd St , Davenport IA 52806-2401. 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 Association-East can be contacted via phone (563) 391-5342, or through Gloede, Diane via phone (319) 472-4211.

Contact Information

Primary practice address
1130 W 53Rd St Davenport IA 52806-2401
Phone: (563) 391-5342
Fax: (319) 472-2256
Website:
Map and Directions
Authorized official contact:
Name: Gloede, Diane
Phone: (319) 472-4211

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 820211 Iowa

Profile Details

NPI number 1730259813
LBN Legal business name Lutheran Home For The Aged Association-East
DBA Doing business as Davenport Lutheran Home
Authorized official Gloede, Diane
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 13th, 2016 - about 8 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 1730259813 NPPES
Iowa MEDICAID 0800961

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