Lutheran Social Services of the South, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

116813 Issued in TX

Legal business name

LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.

Doing business as

E.F. & Bertha Kruse Memorial Lutheran Village

Practice address

1700 E Stone St
Brenham, TX 77833-5150

Phone

(979) 830-1996

Fax

(979) 836-4926

NPI assigned

Aug 19, 2006

Organization subpart

Yes

Parent organization

LUTHERAN SOCIAL SERVICES OF THE SOUTH, INCAs reported in NPPES

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

Authorized official

Name

Mr. Michael Loo

Title

President & Coo

Phone

(512) 459-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• E.F. & Bertha Kruse Memorial Lutheran Village Doing business as

Part of

Lutheran Social Services of the South Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lutheran Social Services of the South, Inc.

  • Professional Counselor
  • Austin, TX
  • NPI 1508191479
  NPPES parent name

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1376657742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 CROSS PARK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545154",
            "telephone_number": "512-459-1000",
            "fax_number": "512-452-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E STONE ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335150",
            "telephone_number": "979-830-1996",
            "fax_number": "979-836-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "LOO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "512-459-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001000718",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E.F. & Bertha Kruse Memorial Lutheran Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kourtney Little
• Malcolm C Lochiel, M.D.
• William Robert Loesch, M.D.
• Lone Star Counseling, LLC
• Bridgette Arlene Luce, LBA, BCBA
• Lutheran Social Services of the South, Inc.
• Karen Ngoc Ly, PHARM.D
• Reginald Earl Malbrough
• Malcolm C. Lochiel, MD, PA
• Anthony S. Manfre, M.D.

• Skilled Nursing Facility in Brenham, TX
• Providers in Brenham, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.