Organization Active NPI

Wittenberg Lutheran Village Endowment Corporation

Doing business as Wittenberg Village Home Health Care

  • Home Health Agency
  • Crown Point, IN
National Provider Identifier
1356108104
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WITTENBERG LUTHERAN VILLAGE ENDOWMENT CORPORATION
Doing business as
Wittenberg Village Home Health Care
Practice address
1175 Luther Dr
Crown Point, IN 46307-5054
Phone
(219) 661-3777
NPI assigned
Feb 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Amy Lacroix
Title
Authorized Official
Phone
(219) 661-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1175 Luther Dr
Crown Point, IN 46307-5054

Mailing address

1175 Luther Dr
Crown Point, IN 46307-5054

Other names 1

  • Wittenberg Village Home Health Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2317231Wittenberg Lutheran Village Endowment1175 E Luther Drive, Crown Point, IN 46307Certificate of waiverJan 20, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1356108104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 LUTHER DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 LUTHER DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075054",
            "telephone_number": "219-661-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITTENBERG LUTHERAN VILLAGE ENDOWMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "LACROIX",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "219-661-3777"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wittenberg Village Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.