Organization Active NPI

Lutheran Home Care Agency, Inc.

  • Home Health Agency
  • Frankenmuth, MI
National Provider Identifier
1053317735
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LUTHERAN HOME CARE AGENCY, INC.
Doing business as
LHCA - Certified
Practice address
100 Mayer Road
Frankenmuth, MI 48734-9502
Phone
(989) 652-4663
Fax
(989) 652-3279
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynn Maurer, RN
Title
Executive Director
Phone
(989) 652-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

100 Mayer Road
Frankenmuth, MI 48734-9502

Mailing address

100 Mayer Road
Frankenmuth, MI 48734-9502
Phone (989) 652-4663

Other identifiers 3

IdentifierTypeStateIssuer
2937288MedicaidMI
OE079OtherMIBCBS INS. PROVIDER #
0997626OtherMIHEALTHPLUS INS.-PROVIDER

Other names 1

  • LHCA - Certified Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1053317735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAYER ROAD",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487349502",
            "telephone_number": "989-652-4663",
            "fax_number": "989-652-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAYER ROAD",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487349502",
            "telephone_number": "989-652-4663",
            "fax_number": "989-652-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOME CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-652-4663",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2937288",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INS. PROVIDER #",
            "identifier": "OE079",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS INS.-PROVIDER",
            "identifier": "0997626",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LHCA - Certified",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frankenmuth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.