NPIMap

Organization Active NPI

Lutheran Brethren Retirement Services, Inc.

  • Assisted Living Facility
  • Fergus Falls, MN
National Provider Identifier
1124083027
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
326422 Issued in MN
Legal business name
LUTHERAN BRETHREN RETIREMENT SERVICES, INC.
Practice address
418 E Alcott Ave
Fergus Falls, MN 56537-2957
Phone
(218) 998-5444
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leland R. Rogness
Title
Board Chair
Phone
(218) 736-5441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 326422 MN Primary

Addresses

Primary practice location

418 E Alcott Ave
Fergus Falls, MN 56537-2957

Mailing address

418 E Alcott Ave
Fergus Falls, MN 56537-2957
Phone (218) 998-5444

Other names 1

  • Lutheran Brethren Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Brethren Retirement Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124083027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E ALCOTT AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372957",
            "telephone_number": "218-998-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E ALCOTT AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372957",
            "telephone_number": "218-998-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN BRETHREN RETIREMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGNESS",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "218-736-5441"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "326422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Brethren Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.