Organization Active NPI

Lutheran Senior Services

Doing business as Lutheran Senior Services at Richmond Terrace

  • Assisted Living Facility
  • Saint Louis, MO
National Provider Identifier
1114147634
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
033878 Issued in MO
Legal business name
LUTHERAN SENIOR SERVICES
Doing business as
Lutheran Senior Services at Richmond Terrace
Practice address
1633 Laclede Station Rd
Saint Louis, MO 63117-2038
Phone
(314) 646-8000
Fax
(314) 645-5217
NPI assigned
Apr 26, 2007
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Chadwick Sneed
Title
Cfo
Phone
(314) 446-2405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 033878 MO Primary

Addresses

Primary practice location

1633 Laclede Station Rd
Saint Louis, MO 63117-2038

Mailing address

1150 Hanley Industrial CT
Saint Louis, MO 63144-1910
Phone (314) 968-9313

Other identifiers 1

IdentifierTypeStateIssuer
265303503MedicaidMO

Other names 1

  • Lutheran Senior Services at Richmond Terrace Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Senior Services19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1114147634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 HANLEY INDUSTRIAL CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441910",
            "telephone_number": "314-968-9313",
            "fax_number": "314-968-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 LACLEDE STATION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631172038",
            "telephone_number": "314-646-8000",
            "fax_number": "314-645-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "CHADWICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-446-2405"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "033878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265303503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Senior Services at Richmond Terrace",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lutheran Senior Services at Richmond Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.