UNITED LUTHERAN PROGRAM FOR THE AGING, INC (NPI# 1467948380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467948380 |
| Entity Type | Organization |
| Organization Name | UNITED LUTHERAN PROGRAM FOR THE AGING, INC |
| Other Organization Name | THE CLINIC AT LUTHER MANOR |
| Practice Address |
4545 N 92nd St Wauwatosa WI 53225-4807 |
| Practice Telephone | 4144646396 |
| Mailing Telephone | 4144646396 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | ARTHUR ALLEN KEUP (CFO) |
| Authorized Official Telephone | 4144646396 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNITED LUTHERAN PROGRAM FOR THE AGING, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Clinic at Luther Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396938882 | United Lutheran Program for The Aging, Inc | Hospice Care, Community Based | 4545 N 92nd St, Wauwatosa, WI 53225-4807 | 2007-08-20 |
| Street Address |
4545 N 92ND ST |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53225-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396938882 | United Lutheran Program for The Aging, Inc | Hospice Care, Community Based | 4545 N 92nd St, Wauwatosa, WI 53225-4807 | 2007-08-20 |
| 1285231860 | Marcy Raupp | Occupational Therapist | 4545 N 92nd St, Wauwatosa, WI 53225-4807 | 2020-10-06 |
| 1609376151 | Stephanie Ann Foulston | Occupational Therapy Assistant | 4545 N 92nd St, Wauwatosa, WI 53225-4807 | 2018-02-20 |
| 1063811933 | Erin Brehm | Physical Therapist | 4545 N 92nd St, Wauwatosa, WI 53225-4807 | 2014-08-17 |
| 1437567179 | Keeley Sommers | Occupational Therapist | 4545 N 92nd St, Wauwatosa, WI 53225-4807 | 2014-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194088682 | Waulonda Renee Williams | Registered Nurse | 5847 North 91st Street, Milwaukee, WI 53225 | 2012-06-19 |
| 1447519152 | Sandy Xiong | Licensed Practical Nurse | 5656 N 86th Place, Milwaukee, WI 53225 | 2012-05-15 |
| 1992939292 | Marzie Lee Satterwhite | Physical Therapy Assistant | 8534 W Mill Road, Milwaukee, WI 53225 | 2009-05-14 |
| 1538319157 | Katherine Monica Block | Speech-Language Pathologist | 5015 N. 106th St., Milwaukee, WI 53225 | 2008-09-19 |
| 1932329992 | Jennifer Marie Eggert | Speech-Language Pathologist | 9688 W Appleton Ave, Milwaukee, WI 53225 | 2007-05-01 |
| 1396830501 | Milwaukee Pain Treatment Services Sc | Anesthesiology | 5400 N 118th Court, Milwaukee, WI 53225 | 2006-10-04 |
| 1962518050 | Kenneth John Kowalski | Dentist | 4878 N Swan Road, Milwaukee, WI 53225 | 2006-08-22 |
| 1447290325 | Catherine Mae Jenkins | Registered Nurse | 5650 North 97th Street, Milwaukee, WI 53225 | 2006-06-07 |
| 1942249578 | David Irving Stein | Specialist | 5400 N 118tth Court, Milwaukee, WI 53225 | 2006-06-06 |
| 1720057482 | Herslof's, Inc | Optometrist | 12000 W Carmen Ave, Milwaukee, WI 53225 | 2006-03-15 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
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| 1184958209 | Martin Men's Medical Clinic of Wisconsin | Clinic/Center | 2949 N Mayfair Rd Ste 300, Wauwatosa, WI 53222-4304 | 2009-09-22 |
| 1518167477 | West Grove Clinic, LLC | Clinic/Center | 10012 W. Capitol Dr. #101, Wauwatosa, WI 53222-1300 | 2007-07-19 |
| 1588736276 | Heritage Clinic S.c. | Clinic/Center | 201 N Mayfair Rd, Suite 535, Wauwatosa, WI 53226-4216 | 2006-11-15 |
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| 1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
| 1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
| 1144784174 | Bluestem Acupuncture | Clinic/Center | 715 Hill St Ste 130, Madison, WI 53705-3572 | 2019-01-23 |
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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.