NPIMap

Organization Active NPI

Lutheran Senior Services

  • Assisted Living Facility
  • Saint Louis, MO
National Provider Identifier
1114148251
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
033725 Issued in MO
Legal business name
LUTHERAN SENIOR SERVICES
Practice address
727 S Laclede Station Rd S
Saint Louis, MO 63119-4911
Phone
(314) 968-5570
Fax
(314) 968-2497
NPI assigned
May 2, 2007
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 033725 MO Primary

Addresses

Primary practice location

727 S Laclede Station Rd S
Saint Louis, MO 63119-4911

Mailing address

709 S Laclede Station Rd S
Saint Louis, MO 63119-4911
Phone (314) 968-9313

Other identifiers 1

IdentifierTypeStateIssuer
266145408MedicaidMO

Other names 1

  • Lutheran Senior Services at Laclede Commons Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0926354Laclede Commons727 South Laclede Station Road, Saint Louis, MO 63119Certificate of waiverMar 19, 2027

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

Locations

709 S Laclede Station Rd
Webster Groves, MO 63119

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1114148251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S LACLEDE STATION RD S",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194911",
            "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": "727 S LACLEDE STATION RD S",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194911",
            "telephone_number": "314-968-5570",
            "fax_number": "314-968-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "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": "033725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266145408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Senior Services at Laclede Commons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lutheran Senior Services at Laclede Commons",
            "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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.