NPIMap

Organization Active NPI

Diakon Lutheran Social Minsitries

Doing business as Adult Day Services at Ravenwood Lutheran Village

  • Developmentally Disabled Services Day Training Agency
  • Hagerstown, MD
National Provider Identifier
1174581953
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
13179 Issued in MD
Legal business name
DIAKON LUTHERAN SOCIAL MINSITRIES
Doing business as
Adult Day Services at Ravenwood Lutheran Village
Practice address
1109 Luther Dr
Hagerstown, MD 21740-7407
Phone
(301) 790-1000
NPI assigned
May 2, 2006
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Ms. Susan R McHugh
Title
Director, Resident Financial Servic
Phone
(717) 795-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 13179 MD Primary

Addresses

Primary practice location

1109 Luther Dr
Hagerstown, MD 21740-7407

Mailing address

960 Century Dr
Mechanicsburg, PA 17055-4374
Phone (717) 795-0309

Other identifiers 1

IdentifierTypeStateIssuer
043833200MedicaidMD

Other names 1

  • Adult Day Services at Ravenwood Lutheran Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tressler Luthern Servic26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

1109 Luther Dr
Hagerstown, MD 21740
Phone (301) 790-1000

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1174581953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 CENTURY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554374",
            "telephone_number": "717-795-0309",
            "fax_number": "717-795-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 LUTHER DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407407",
            "telephone_number": "301-790-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAKON LUTHERAN SOCIAL MINSITRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR, RESIDENT FINANCIAL SERVIC",
        "authorized_official_telephone_number": "717-795-0309",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MD",
            "license": "13179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043833200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Day Services at Ravenwood Lutheran Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.