ST. JOHN'S LUTHERAN CHURCH, INC. (NPI# 1336689322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336689322 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S LUTHERAN CHURCH, INC. |
| Other Organization Name | THE FRIENDSHIP CENTER |
| Practice Address |
311 N. Lake Rd. Lena IL 61048-8712 |
| Mailing Address |
311 N. Lake R. P. O Box 172 Lena IL 61048-8712 |
| Practice Telephone | 8153692690 |
| Practice Fax Number | 8153692535 |
| Mailing Telephone | 8153692690 |
| Mailing Fax Number | 8153692535 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | MRS. FAWN NOLAN (CHAIRMAN OF THE BOARD) |
| Authorized Official Telephone | 8153694035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Friendship Center | Doing Business As Name - Organization |
| Street Address |
311 N. LAKE RD. |
| City | LENA |
| State | IL |
| Zip Code | 61048-8712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295253 | Midwest Modern Health Pllc | Chiropractor | 306 East Main Street, Lena, IL 61048 | 2020-08-10 |
| 1972574689 | James T Liles | Chiropractor | 238 W Main St, Lena, IL 61048-0424 | 2006-01-30 |
| 1578677167 | Patrick George Schleich | Pharmacist | 154 W. Main St., Lena, IL 61048-0666 | 2006-08-19 |
| 1609027713 | Lena Winslow 202 | Local Education Agency (LEA) | 401 Fremont St, Lena, IL 61048-8610 | 2008-10-07 |
| 1114446978 | Kimberly Milder | Speech-Language Pathologist | 401 Fremont St, Lena, IL 61048-8610 | 2017-09-13 |
| 1134523657 | Julio Delgadillo | Registered Nurse | 214 North Schuyler Street, Lena, IL 61048-8712 | 2014-10-13 |
| 1144684564 | Bradley Brunner | Chiropractor | 214 Rousch St, Lena, IL 61048-8822 | 2016-04-12 |
| 1205132172 | Tanya Marie Knoup | Community Health Worker | 8475 W Mound Rd, Lena, IL 61048-9016 | 2011-02-09 |
| 1891957874 | Gordon Edward Dammann | Dentist | 123 W Railroad St, Lena, IL 61048-9038 | 2008-06-30 |
| 1073723714 | Jon D Wolfe | Dentist | 123 W. Railroad St., Lena, IL 61048-9038 | 2007-05-23 |
| Find all providers in zip 61048 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| 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 |
| 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 |
| 1508277666 | Independence Health & Therapy | Clinic/Center | 12555 Farm Hill Dr, Suite 800, Huntley, IL 60142-7723 | 2014-05-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST. JOHN'S LUTHERAN CHURCH, INC..
| 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.