NPIMap

Organization Active NPI

Lutheran Home for the Aged

  • Assisted Living Facility
  • Cape Girardeau, MO
National Provider Identifier
1306970876
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LUTHERAN HOME FOR THE AGED
Practice address
2825 Bloomfield Rd
Cape Girardeau, MO 63703-6335
Phone
(573) 335-0158
Fax
(573) 986-6312
NPI assigned
Mar 15, 2007
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
Patrick McCann, CPA
Title
Controller
Phone
(573) 335-0158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MO Primary

Addresses

Primary practice location

2825 Bloomfield Rd
Cape Girardeau, MO 63703-6335

Mailing address

2825 Bloomfield Rd
Cape Girardeau, MO 63703-6335
Phone (573) 335-0158

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Home Hospice8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2825 Bloomfield Rd
Cpe Girardeau, MO 63703
Phone (573) 334-1515

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306970876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 BLOOMFIELD RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036335",
            "telephone_number": "573-335-0158",
            "fax_number": "573-986-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 BLOOMFIELD RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036335",
            "telephone_number": "573-335-0158",
            "fax_number": "573-986-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOME FOR THE AGED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "573-335-0158",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

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.