Organization Active NPI

Luthercare

Doing business as Spang Crest Manor

  • Skilled Nursing Facility
  • Lebanon, PA
National Provider Identifier
1326035577
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
193602 Issued in PA
Legal business name
LUTHERCARE
Doing business as
Spang Crest Manor
Practice address
945 Duke Street
Lebanon, PA 17042-7216
Phone
(717) 274-1495
Fax
(717) 274-1592
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Mr. Carl R McAloose
Title
President Ceo
Phone
(717) 626-1171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 193602 PA Primary

Addresses

Primary practice location

945 Duke Street
Lebanon, PA 17042-7216

Mailing address

600 East Main St
Lititz, PA 17543-2224
Phone (717) 626-1171

Other identifiers 1

IdentifierTypeStateIssuer
1001260410029MedicaidPA

Other names 1

  • Spang Crest Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Luther Acres Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1326035577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 EAST MAIN ST",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175432224",
            "telephone_number": "717-626-1171",
            "fax_number": "717-626-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 DUKE STREET",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427216",
            "telephone_number": "717-274-1495",
            "fax_number": "717-274-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "MCALOOSE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "717-626-1171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "193602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001260410029",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spang Crest Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.