LUTHERAN SOCIAL SERVICES OF ILLINOIS


Address: 4011 Avenue of The Cities, Suite 102, Moline, IL 61265-4454
Phone: 3097970200

LUTHERAN SOCIAL SERVICES OF ILLINOIS (NPI# 1174926869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174926869
Entity Type Organization
Organization Name LUTHERAN SOCIAL SERVICES OF ILLINOIS
Other Organization Name INTOUCH HOME CARE SERVICES
Practice Address 4011 Avenue of The Cities
Suite 102
Moline
IL 61265-4454
Mailing Address 1001 E Touhy Ave
Suite 300
Des Plaines
IL 60018-5801
Practice Telephone 3097970200
Practice Fax Number 3097975135
Mailing Telephone 8476354600
Mailing Fax Number 8476995117
Enumeration Date 2014-10-08
Last Update Date 2015-09-23
Authorized Official Name MARK STUTRUD (CEO)
Authorized Official Telephone 8476354600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 253Z00000X In Home Supportive Care 3000753 IL Agencies
N 251B00000X Case Management Agencies
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Intouch Home Care Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881206035 Lutheran Social Services of Illinois Psychologist 45 Industrial Dr, Vienna, IL 62995-1674 2020-08-19
1710599956 Lutheran Social Services of Illinois Psychologist 12940 Western Ave Ste 300, Blue Island, IL 60406-4154 2020-08-19
1235741745 Lutheran Social Services of Illinois Psychologist 102 E Deyoung St, Marion, IL 62959-2724 2020-08-18
1922634021 Lutheran Social Services of Illinois Clinic/Center 400 N Cherry St, Morrison, IL 61270-2605 2020-03-20
1477904555 Lutheran Social Services of Illinois Counselor 16248 S Parker Rd, Homer Glen, IL 60491-9081 2016-06-29
1760857213 Lutheran Social Services of Illinois Counselor 6201 S Sangamon St, Ste 101, Chicago, IL 60621-2005 2015-12-09
1104200237 Lutheran Social Services of Illinois Clinic/Center 85 Hankes Ave, Aurora, IL 60505-1774 2015-07-18
1194104661 Lutheran Social Services of Illinois Counselor 402 Kishwaukee St, Ste 101, Rockford, IL 61104-2041 2015-05-29
1578942108 Lutheran Social Services of Illinois Counselor 1798 Summit Ave, Ste 104, East Saint Louis, IL 62205-2800 2015-05-28
1356744056 Lutheran Social Services of Illinois In Home Supportive Care 815 W 63rd St, 3rd Floor, Chicago, IL 60621-1917 2014-10-08

Office Location

Street Address 4011 AVENUE OF THE CITIES
SUITE 102
City MOLINE
State IL
Zip Code 61265-4454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508301433 Active Day In, Inc. Day Training, Developmentally Disabled Services 4011 Avenue of The Cities, Suite 102, Moline, IL 61265-4454 2017-01-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861035438 Ora Orthopedics, PC Orthopaedic Surgery 510 Valley View Drive, Moline, IL 61265 2019-10-25
1598231698 Secure Dental Vi Dentist 106 16th St, Unit #90, Moline, IL 61265 2018-10-17
1487152088 Fjellheim P.c Chiropractor 1535 47th Avenue, Suite 5, Moline, IL 61265 2018-01-29
1326567199 Elizabeth Ann Teichler Respiratory Therapist, Registered 4360 7th Street, Moline, IL 61265 2017-09-13
1497279913 Caroline M Mather Behavioral Analyst 2430 6th Avenue, Moline, IL 61265 2017-07-26
1639625239 Elizabeth Anderson Nurse's Aide 4319 26th Ave Apt 1, Moline, IL 61265 2016-09-01
1437604154 Lindsey Bollaert Nurse Practitioner 1100 36th Ave, Moline, IL 61265 2016-08-23
1437541869 Divvymed, LLC Pharmacy 4300 44th Ave, Moline, IL 61265 2015-02-23
1477955250 Todd Stone Nurse Practitioner 1100 3th Avenue, Moline, IL 61265 2014-09-23
1588084479 Familia Dental Moline LLC Dentist 1102 4th Ave, Moline, IL 61265 2014-04-18
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962987735 Osf Healthcare System Clinic/Center 719 N William Kumpf Blvd Ste 300, Peoria, IL 61605-2531 2018-09-27
1083190920 St. John's Healing Community Board Clinic/Center 1015b Century Dr, Edwardsville, IL 62025-3772 2018-07-13
1922594613 Northwest Adult Wellness Center LLC Clinic/Center 235 W 95th Suite 3, Chicago, IL 60628 2018-07-05
1871003335 Center for Seniors Clinic/Center 8900 Capitol Dr, Wheeling, IL 60090-7203 2017-10-10
1336689322 St. John's Lutheran Church, Inc. Clinic/Center 311 N. Lake Rd., Lena, IL 61048-8712 2017-02-24
1306398656 Naperville Senior Center Adult Day Services Clinic/Center 1504 N Naper Blvd Ste 120, Naperville, IL 60563-4819 2016-11-02
1598218604 3ys Service, Inc Clinic/Center 914 E 54th St, Chicago, IL 60615-5018 2016-07-26
1962896431 Presence Heritage Day Break Clinic/Center 1025 N Washington Ave, Kankakee, IL 60901-2059 2015-03-23
1700281011 Starlight Adult Day Care Dba Forever Young Adult Day Services, Inc. Clinic/Center 6700 N Lincoln Ave, Lincolnwood, IL 60712-3607 2014-10-29
1588073753 The Golden Years Adult Day Center LLC Clinic/Center 7 N 44th St, Belleville, IL 62226-5543 2014-08-12
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Competitor

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City MOLINE
Zip Code 61265

Improve Information

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Dataset Information

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.

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