Lutheran Home - Hickory West

LBN: Lutheran Home - Hickory West
Lutheran Home - Hickory West is an health care organization with primary practice located at 1125 10Th Street Blvd Nw , Hickory NC 28601-3373. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Lutheran Home - Hickory West can be contacted via phone (828) 322-6995, or through Flaska, Gus via phone (828) 322-6995.

Contact Information

Primary practice address
1125 10Th Street Blvd Nw Hickory NC 28601-3373
Phone: (828) 322-6995
Fax: (828) 485-0070
Website:
Map and Directions
Authorized official contact:
Name: Flaska, Gus
Phone: (828) 322-6995

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NC0162 North Carolina

Profile Details

NPI number 1629251426
LBN Legal business name Lutheran Home - Hickory West
DBA Doing business as
Authorized official Flaska, Gus
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2007
Last updated Dec 14th, 2007 - about 17 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 1629251426 NPPES
North Carolina MEDICAID 3426033

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