Active NPI
Lutheran Homes Society Inc.
- Adolescent and Children Mental Health Clinic/Center
- Holland, OH
National Provider Identifier
1295325942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- LUTHERAN HOMES SOCIETY INC.
- Practice address
- 1905 Perrysburg Holland Rd
Holland, OH 43528-9582 - Phone
- (419) 693-1520
- Fax
- (419) 693-3295
- NPI assigned
- Jan 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lorinda Schalk
- Title
- Treasurer, Cfo
- Phone
- (419) 861-4906
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
1905 Perrysburg Holland Rd
Holland, OH 43528-9582
Mailing address
1905 Perrysburg Holland Rd
Holland, OH 43528-9582
Phone (419) 693-1520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2338125 | Medicaid | OH |
Other names 1
- Family and Youth Services
National Provider Directory
National Provider Directory- Tax ID family
- Lutheran Homes Society Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lutheran Homes Society Hospice
- Community Based Hospice Care Agency
- Toledo, OH
- NPI 1114293578
-
dba Lutheran Village at Wolf Creek
- Assisted Living Facility
- Holland, OH
- NPI 1306301221
-
dba Alpine Village Assisted Living
- Assisted Living Facility
- Napoleon, OH
- NPI 1942461280
-
dba Lutheran Home at Toledo Assisted Living
- Assisted Living Facility
- Toledo, OH
- NPI 1568623809
-
dba Toledo Assisted Living
- Assisted Living Facility
- Toledo, OH
- NPI 1710343801
Locations
1905 Perrysburg Holland Rd
Holland, OH 43528
Phone (419) 324-0949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611619200000",
"number": "1295325942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 PERRYSBURG HOLLAND RD",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289582",
"telephone_number": "419-693-1520",
"fax_number": "419-693-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 PERRYSBURG HOLLAND RD",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289582",
"telephone_number": "419-693-1520",
"fax_number": "419-693-3295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN HOMES SOCIETY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A",
"authorized_official_last_name": "SCHALK",
"authorized_official_first_name": "LORINDA",
"authorized_official_title_or_position": "TREASURER, CFO",
"authorized_official_telephone_number": "419-861-4906"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2338125",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family and Youth Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Holland, OH
- Alicia Lovett
- Lucas County Auditor (Toledo-Lucas County Health Center)
- Lucas County Auditor
- Marchell Luckett
- Lutheran Homes Society Inc. (Lutheran Village at Wolf Creek)
- Lutheran Homes Society Inc. (Lutheran Village at Wolf Creek)
- Lutheran Homes Society, Inc. (Genacross Lutheran Services Family and Youth)
- Lutheran Orphans and Old Folks Home at Wolf Creek (Lutheran Village at Wolf Creek)
- Sarah Elizabeth Lyczkowski, CDCA
- Kristin Lynam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.