NPIMap

Organization Active NPI

Lutheran Social Services of the South, Inc.

Doing business as Wedgewood South Assisted Living

  • Assisted Living Facility
  • Lubbock, TX
National Provider Identifier
1053468082
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
030082 Issued in TX
Legal business name
LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
Doing business as
Wedgewood South Assisted Living
Practice address
9812 Vinton Ave
Lubbock, TX 79424-6376
Phone
(806) 798-1011
Fax
(806) 794-0234
NPI assigned
Jan 4, 2007
Last updated
Feb 12, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
LUTHERAN SOCIAL SERVICES OF THE SOUTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Mr. John Berkely
Title
Vice President Senior Services
Phone
(512) 459-1000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 030086 TX
Assisted Living Facility 310400000X 030081 TX
Assisted Living Facility 310400000X 100083 TX
Assisted Living Facility 310400000X 030082 TX Primary

Addresses

Primary practice location

9812 Vinton Ave
Lubbock, TX 79424-6376

Mailing address

PO Box 140767
Austin, TX 78714-0767
Phone (512) 459-1000

Other names 1

  • Wedgewood South Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Soc SVCS of TH11 organizations share this tax ID, including this one
Part of
Lutheran Soc SVCS of TH

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1053468082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140767",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787140767",
            "telephone_number": "512-459-1000",
            "fax_number": "512-452-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9812 VINTON AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246376",
            "telephone_number": "806-798-1011",
            "fax_number": "806-794-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "BERKELY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT SENIOR SERVICES",
        "authorized_official_telephone_number": "512-459-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "030086",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "030081",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "100083",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "030082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wedgewood South Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.