LUTHERAN HOME FOR THE AGED (NPI# 1215061114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215061114 |
| Entity Type | Organization |
| Organization Name | LUTHERAN HOME FOR THE AGED |
| Practice Address |
2825 Bloomfield Rd Cape Girardeau MO 63703-6335 |
| Practice Telephone | 5733350158 |
| Practice Fax Number | 5739866312 |
| Mailing Telephone | 5733350158 |
| Mailing Fax Number | 5739866312 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICK MCCANN (CONTROLLER) |
| Authorized Official Telephone | 5733350158 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | MO | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376539320 | Lutheran Home for The Aged | Skilled Nursing Facility | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2005-09-26 |
| 1891792354 | Lutheran Home for The Aged | Skilled Nursing Facility | 149 W 22nd St, Erie, PA 16502-2804 | 2005-06-30 |
| 1306970876 | Lutheran Home for The Aged | Assisted Living Facility | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2007-03-15 |
| 1720195431 | Lutheran Home for The Aged | Hospice Care, Community Based | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2006-08-25 |
| 1699700476 | Lutheran Home for The Aged | Home Health | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2006-07-11 |
| 1619939196 | Lutheran Home for The Aged | Home Health | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2006-04-03 |
| 1487641064 | Lutheran Home for The Aged | Skilled Nursing Facility | 800 W Oakton St, Arlington Heights, IL 60004-4602 | 2005-09-29 |
| Street Address |
2825 BLOOMFIELD RD |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-6335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376539320 | Lutheran Home for The Aged | Skilled Nursing Facility | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2005-09-26 |
| 1518160050 | Lutheran Home Hospice | Hospice Care, Community Based | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2007-06-11 |
| 1336342872 | Lutheran Home Health | Home Health | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2007-06-11 |
| 1306970876 | Lutheran Home for The Aged | Assisted Living Facility | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2007-03-15 |
| 1720195431 | Lutheran Home for The Aged | Hospice Care, Community Based | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2006-08-25 |
| 1699700476 | Lutheran Home for The Aged | Home Health | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2006-07-11 |
| 1619939196 | Lutheran Home for The Aged | Home Health | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2006-04-03 |
| 1851353338 | Lutheran Home for Th E Aged | Hospice Care, Community Based | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114100146 | Glendale Assisted Living | Assisted Living Facility | 429 N Frederick St, Cape Girardeau, MO 63701-4834 | 2007-12-13 |
| 1063540706 | Country Gardens, Inc | Assisted Living Facility | 210 Franks Ln, Cape Girardeau, MO 63701-8439 | 2007-03-02 |
| 1194864447 | Glendale Assisted Living | Assisted Living Facility | 430 N Frederick, Cape Girardeau, MO 63701 | 2007-02-05 |
| 1447396965 | Ratliff Enterprises LLC | Assisted Living Facility | 701 N Sprigg, Cape Girardeau, MO 63701-4815 | 2007-01-30 |
| 1174570030 | Capetown Residential, LLC | Assisted Living Facility | 2857 Cape Lacroix Rd, Cape Girardeau, MO 63701-8588 | 2006-05-27 |
| 1003863994 | Cape Girardeau Residential. LLC | Assisted Living Facility | 2910 Beaver Creek Dr, Cape Girardeau, MO 63701-1732 | 2006-05-27 |
| 1659334167 | Cape Retirement Community, Inc. | Assisted Living Facility | 3120 Independence St, Cape Girardeau, MO 63703-5043 | 2006-04-07 |
| 1013410059 | Jefferson Manor Cape Girardeau | Assisted Living Facility | 902 Jefferson Ave, Cape Girardeau, MO 63703-6755 | 2018-03-15 |
| 1831216589 | Fountainbleau of Cape Girardeau, Inc. | Assisted Living Facility | 2001 N Kingshighway St, Cape Girardeau, MO 63701-2127 | 2007-03-26 |
| 1306970876 | Lutheran Home for The Aged | Assisted Living Facility | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2007-03-15 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on LUTHERAN HOME FOR THE AGED.
| 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.