LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. (NPI# 1033284740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033284740 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. |
| Other Organization Name | LSS AFFINITY HOUSE |
| Practice Address |
3042 Kilbourne Ave Eau Claire WI 54703-0943 |
| Mailing Address |
Po Box 88732 Milwaukee WI 53288-0001 |
| Practice Telephone | 7158330436 |
| Mailing Telephone | 7155522401 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL HAROLD GUNS (VICE PRESIDENT FINANCE, CFO) |
| Authorized Official Telephone | 4143253010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| LSS Affinity House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154663375 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 1850 Cranston Rd, Beloit, WI 53511-2544 | 2013-03-26 |
| 1386969723 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 127 W Central St, Chippewa Falls, WI 54729-2346 | 2010-03-29 |
| 1659446672 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 306 S Barstow St, Eau Claire, WI 54701-3678 | 2006-11-22 |
| 1013082577 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 16 Boon Blvd, Neillsville, WI 54456-2176 | 2006-11-21 |
| 1952476426 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 320 Dvorak Ct, Stoughton, WI 53589-5480 | 2006-11-21 |
| 1437224961 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Substance Abuse Rehabilitation Facility | 1002 Motor Ave, Waukesha, WI 53188-4955 | 2006-11-21 |
| 1528133071 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Substance Abuse Rehabilitation Facility | 325 Sentinel Dr, Waukesha, WI 53189-7551 | 2006-11-21 |
| 1326113887 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | W18105 Hemlock Rd, Wittenberg, WI 54499-8647 | 2006-11-21 |
| 1730253758 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Public Health or Welfare | 6737 W Washington St Ste 2275, West Allis, WI 53214-5666 | 2006-11-20 |
| 1992216782 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Case Management | 6737 W Washington St Ste 2275, West Allis, WI 53214 | 2017-10-19 |
| Street Address |
3042 KILBOURNE AVE |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-0943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740355452 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Substance Abuse Rehabilitation Facility | 3136 Craig Rd, Eau Claire, WI 54701-6109 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114415908 | Iris Health Clinic LLC | Substance Abuse Rehabilitation Facility | 260 S Elm Grove Rd, Brookfield, WI 53005-6522 | 2018-04-26 |
| 1396259420 | Whole Life Services LLC | Substance Abuse Rehabilitation Facility | 819 Ash St Ste 150, Spooner, WI 54801-1201 | 2017-11-28 |
| 1306298740 | Phoenix Counseling | Substance Abuse Rehabilitation Facility | 64 S 4th St, Barron, WI 54812-1503 | 2016-07-11 |
| 1043684251 | Millenium Manor, LLC | Substance Abuse Rehabilitation Facility | 4509 Arthur Rd, Slinger, WI 53086-9603 | 2015-11-25 |
| 1780081174 | Psthways To A Better Life 1, LLC | Substance Abuse Rehabilitation Facility | 13111 Lax Chapel Rd, Kiel, WI 53042-3954 | 2014-12-01 |
| 1710304878 | Exodus Transitional Care Facility Inc. | Substance Abuse Rehabilitation Facility | 1421 Fond Du Lac Ave, Kewaskum, WI 53040-9136 | 2014-03-26 |
| 1558798686 | Friends of Women In Recovery Inc. | Substance Abuse Rehabilitation Facility | 166 S Park Ave, Fond Du Lac, WI 54935-4441 | 2013-10-03 |
| 1457784662 | The Pines Treatment & Recovery Center | Substance Abuse Rehabilitation Facility | N3387 State Road 73, Wautoma, WI 54982-5257 | 2013-08-12 |
| 1215375472 | Hope Haven | Substance Abuse Rehabilitation Facility | 3602 Memorial Dr, Madison, WI 53704-1106 | 2013-06-10 |
| 1831464536 | Alcocare Inc. | Substance Abuse Rehabilitation Facility | 786 S Main St, Janesville, WI 53545-4852 | 2012-03-13 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.