Lutheran Home - Hickory West, Inc

LBN: Lutheran Home - Hickory West, Inc
Lutheran Home - Hickory West, Inc 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 / Skilled Nursing Facility, which is considered as the primary health care specialty. Lutheran Home - Hickory West, Inc 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
Fax: (828) 322-7066
Website:
Authorized official contact:
Name: Flaska, Gus

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NC0162 North Carolina

Profile Details

NPI number 1508864323
LBN Legal business name Lutheran Home - Hickory West, Inc
DBA Doing business as
Authorized official Flaska, Gus
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2005
Last updated Apr 20th, 2008 - about 16 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 1508864323 NPPES
North Carolina MEDICAID 3425106

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