NPIMap

Organization Active NPI

Lutheran Home-Hickory

  • Skilled Nursing Facility
  • Hickory, NC
National Provider Identifier
1215110499
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0068 Issued in NC
Legal business name
LUTHERAN HOME-HICKORY
Practice address
1265 21St St NE
Hickory, NC 28601-2911
Phone
(828) 328-2006
Fax
(828) 327-0512
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mrs. Amber McIntosh
Title
Administrator
Phone
(828) 328-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0068 NC Primary

Addresses

Primary practice location

1265 21St St NE
Hickory, NC 28601-2911

Mailing address

1265 21St St NE
Hickory, NC 28601-2911
Phone (828) 328-2006

Other identifiers 2

IdentifierTypeStateIssuer
5298520001OtherNCDURABLE MEDICAL EQUIPMENT
5325960001OtherNCDURABLE MEDICAL EQUIPMENT

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Home-Hickory Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1215110499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 21ST ST NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012911",
            "telephone_number": "828-328-2006",
            "fax_number": "828-327-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 21ST ST NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012911",
            "telephone_number": "828-328-2006",
            "fax_number": "828-327-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOME-HICKORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-328-2006",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUIPMENT",
            "identifier": "5298520001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUIPMENT",
            "identifier": "5325960001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.