LUTHER PARK HEALTH CENTER INC (NPI# 1306900196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306900196 |
| Entity Type | Organization |
| Organization Name | LUTHER PARK HEALTH CENTER INC |
| Other Organization Name | TRINITY CENTER AT LUTHER PARK |
| Practice Address |
1555 Hull Ave Des Moines IA 50316-1341 |
| Practice Telephone | 5152625639 |
| Practice Fax Number | 5152662688 |
| Mailing Telephone | 5152625639 |
| Mailing Fax Number | 5152662688 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-03-13 |
| Authorized Official Name | MR. PETER C. WEGNER (PRESIDENT) |
| Authorized Official Telephone | 5152625639 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 770825 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0802306 | 05 |
| Other Name | Type Code |
|---|---|
| Trinity Center at Luther Park | Doing Business As Name - Organization |
| Street Address |
1555 HULL AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50316-1341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730174657 | Trinity Center | Nursing Facility/Intermediate Care Facility | 1555 Hull Ave, Des Moines, IA 50316-1341 | 2005-09-16 |
| 1790390326 | Amanda Maria Lantow | Registered Nurse | 1555 Hull Ave, Des Moines, IA 50316-1341 | 2020-09-10 |
| 1215417894 | Brittney Culmore | Physical Therapist | 1555 Hull Ave, Des Moines, IA 50316-1341 | 2018-08-14 |
| 1447675160 | Aaron Timm | Physical Therapist | 1555 Hull Ave, Des Moines, IA 50316-1341 | 2014-03-04 |
| 1215001995 | Trinity Center At Luther Park | Alzheimer Center (Dementia Center) | 1555 Hull Ave, Des Moines, IA 50316-1341 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| Find all providers in zip 50316 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235225699 | Iowa Jewish Senior Life Center | Nursing Facility/Intermediate Care Facility | 900 Polk Blvd, Des Moines, IA 50312-2225 | 2006-10-05 |
| 1679527840 | Scottish Rite Park, Inc. | Nursing Facility/Intermediate Care Facility | 2909 Woodland Ave., Des Moines, IA 50312 | 2006-05-20 |
| 1730174657 | Trinity Center | Nursing Facility/Intermediate Care Facility | 1555 Hull Ave, Des Moines, IA 50316-1341 | 2005-09-16 |
| 1487807863 | Iowa Jewish Senior Life Center | Nursing Facility/Intermediate Care Facility | 900 Polk Blvd, Des Moines, IA 50312-2225 | 2008-10-29 |
| 1649423021 | Iowa Jewish Senior Life Center | Nursing Facility/Intermediate Care Facility | 900 Polk Blvd, Des Moines, IA 50312-2225 | 2008-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389346 | Perry Lutheran Home - Rowley Campus LLC | Nursing Facility/Intermediate Care Facility | 1300 28th St, Perry, IA 50220-2329 | 2020-09-01 |
| 1225546948 | Creekside, Inc | Nursing Facility/Intermediate Care Facility | 503 Wical Way, Grundy Center, IA 50638-0000 | 2018-01-16 |
| 1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
| 1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
| 1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
| 1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
| 1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
| 1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
| 1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
| 1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50316 |
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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.