LUTHERAN SENIOR SERVICES (NPI# 1356556625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356556625 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SENIOR SERVICES |
| Other Organization Name | ST. JOSEPH'S BLUFFS |
| Practice Address |
1306 W Main St Jefferson City MO 65109-1356 |
| Mailing Address |
1150 Hanley Industrial Ct Saint Louis MO 63144-1910 |
| Practice Telephone | 5736350166 |
| Practice Fax Number | 5736351405 |
| Mailing Telephone | 3149689313 |
| Mailing Fax Number | 3149685590 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | CHADWICK SNEED (SR VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 3144462405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 031875 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 106418502 | 05 |
| Other Name | Type Code |
|---|---|
| St. Joseph's Bluffs | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457675704 | Lutheran Senior Services | Home Health | 1150 Hanley Industrial Ct, Saint Louis, MO 63144-1910 | 2010-03-16 |
| 1467602656 | Lutheran Senior Services | Assisted Living Facility | 1 Meramec Bluffs Dr, Ballwin, MO 63021-3309 | 2008-09-24 |
| 1770743510 | Lutheran Senior Services | Assisted Living Facility | 1420 N Franklin St, Wilmington, DE 19806-3178 | 2008-06-16 |
| 1275790867 | Lutheran Senior Services | Clinic/Center | 3710 Lenoir St, Columbia, MO 65201-5463 | 2008-05-21 |
| 1205057494 | Lutheran Senior Services | Assisted Living Facility | 3801 Miller Dr, Columbia, MO 65201 | 2007-05-02 |
| 1114148251 | Lutheran Senior Services | Assisted Living Facility | 727 S Laclede Station Rd S, Saint Louis, MO 63119-4911 | 2007-05-02 |
| 1114147634 | Lutheran Senior Services | Assisted Living Facility | 1633 Laclede Station Rd, Saint Louis, MO 63117-2038 | 2007-04-26 |
| 1770664161 | Lutheran Senior Services | Home Health | 1300 Strassner Dr, Saint Louis, MO 63144-1873 | 2006-10-18 |
| 1548354624 | Lutheran Senior Services | Skilled Nursing Facility | 3850 Cartwright Ln, Columbia, MO 65201-7779 | 2006-10-03 |
| 1720172869 | Lutheran Senior Services | Skilled Nursing Facility | 600 Breeze Park Dr, Weldon Spring, MO 63304-9142 | 2006-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LUTHERAN SENIOR SERVICES | 1150 Hanley Industrial Ct, Saint Louis, MO 63144-1910 |
| Massachusetts Corporations | LUTHERAN SENIOR SERVICES | 1150 Hanley Industrial Ct., St. Louis, MO 63144 |
| System for Award Management (SAM) Entities | LUTHERAN SENIOR SERVICES, INC. | 1201 N Harrison St Apt 1204, Wilmington, DE 19806-3534 |
| Street Address |
1306 W MAIN ST |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811104888 | Lutheran Senior Services | Clinic/Center | 1306 W Main St, Jefferson City, MO 65109-1356 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518177591 | Missouri Veterans Commission | Skilled Nursing Facility | 205 Jefferson St Fl 12, Jefferson City, MO 65101-2901 | 2007-05-22 |
| 1851415905 | Oak Tree Villas, Inc | Skilled Nursing Facility | 3801 West Truman Blvd, Jefferson City, MO 65109 | 2007-03-16 |
| 1245378371 | Adams Street Place, Inc. | Skilled Nursing Facility | 1024 Adams St, Jefferson City, MO 65101-3408 | 2007-02-01 |
| 1952476343 | Jefferson City Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1221 Southgate Ln, Jefferson City, MO 65109-2465 | 2006-11-21 |
| 1376574301 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 336 W Old Andrew Johnson Hwy, Jefferson City, TN 37760-5212 | 2006-07-06 |
| 1730131897 | Otke-villa LLC | Skilled Nursing Facility | 1030 Edmonds St, Jefferson City, MO 65109-5213 | 2006-05-17 |
| 1932159308 | Ggnsc Jefferson City LLC | Skilled Nursing Facility | 3038 W Truman Blvd, Jefferson City, MO 65109-0525 | 2006-05-10 |
| 1205381373 | N & R of Jefferson City LLC | Skilled Nursing Facility | 3038 W Truman Blvd, Jefferson City, MO 65109-0525 | 2016-08-18 |
| 1093176950 | Jefferson City Operations, LLC | Skilled Nursing Facility | 336 W Old Andrew Johnson Hwy, Jefferson City, TN 37760-5212 | 2016-03-18 |
| 1982901609 | Eldercare of Mid-missouri X, Inc | Skilled Nursing Facility | 1024 Adams St, Jefferson City, MO 65101-3408 | 2011-02-15 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.