Lutheran Home of Worcester Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0121 Issued in MA

Legal business name

LUTHERAN HOME OF WORCESTER INC

Practice address

26 Harvard St
Worcester, MA 01609-2833

Phone

(508) 754-8877

Fax

(508) 754-7141

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Steven M Haase

Title

Executive Director

Phone

(508) 754-8877

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lutheran Healthcare Center Doing business as

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1245207307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 HARVARD ST",
            "address_2": "LUTHERAN HEALTHCARE CENTER OF WORCESTER",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092833",
            "telephone_number": "508-754-8877",
            "fax_number": "508-754-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HARVARD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092833",
            "telephone_number": "508-754-8877",
            "fax_number": "508-754-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOME OF WORCESTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "HAASE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-754-8877",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940470",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914436",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tendai H Lupafya, NP
• Ellie Luperon, LADC
• Megan Luppi, OTR/L
• Nadezhda Lushina
• Lauren Rose Lussier, M.A.
• Lutheran Housing Corporation - Brockton
• Anne Bodmer Lutz, M.D.
• Ella Luxford
• Luxottica of America Inc.
• Luxottica Retail North America Inc

• Skilled Nursing Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.