United Lutheran Program for the Aging, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

APPLIED FOR Issued in WI

Legal business name

UNITED LUTHERAN PROGRAM FOR THE AGING, INC

Doing business as

Luther Manor Hospice

Practice address

4545 N 92ND St
Wauwatosa, WI 53225-4807

Phone

(414) 464-3880

Fax

(414) 464-5834

NPI assigned

Aug 20, 2007

Last updated

Dec 4, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

UNITED LUTHERAN PROGRAM FOR THE AGING, INCAs reported in NPPES

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

Authorized official

Name

Ms. Nancy Kay Pinter, CPA

Title

Cfo

Phone

(414) 464-3880

Specialties & licenses 1

Addresses

Other names 1

• Luther Manor Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396938882. Details of each certification follow.

• CCN 521585 Hospice · Active · Details

Hospice certification: CCN 521585

Legal name

UNITED LUTHERAN PROGRAM FOR THE AGING, INC

Doing business as

LUTHER MANOR HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 29, 2008

Last certification

Apr 1, 2021

Ownership / control type

Non-Profit - Church

Organization structure

CorporationNon-profit

Incorporated

Sep 3, 1957 in WI

Enrollment address

4545 N 92ND Street
Wauwatosa, WI 53225-4807

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• United Lutheran Program for the Aging, Inc.

  dba Luther Manor

  • Skilled Nursing Facility
  • Milwaukee, WI
  • NPI 1639339518

  5890882849

  Same PAC ID

Listed as

Luther Manor HospiceCCN 521585 · All quality measures

Ownership

Non-Profit

Certified

Sep 29, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

United Lutheran Program for3 organizations share this tax ID, including this one

Part of

United Lutheran Program for

Other organizations with this tax ID 2

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

• United Lutheran Program for the Aging, Inc

  dba The Clinic at Luther Manor

  • Clinic/Center
  • Wauwatosa, WI
  • NPI 1467948380
  NPD tax ID
• United Lutheran Program for the Aging, Inc.

  dba Luther Manor

  • Skilled Nursing Facility
  • Milwaukee, WI
  • NPI 1639339518
  NPD tax ID

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mir Ismail Quryshi, MD

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1871506089

  Contracted Managing Employee

  CMS ownership
• Raymond Jude Zastrow, M.D.

  • Family Medicine Physician
  • West Allis, WI
  • NPI 1992772701

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• United Lutheran Program for the Aging, Inc.

  dba Luther Manor

  • Skilled Nursing Facility
  • Milwaukee, WI
  • NPI 1639339518

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mir Ismail Quryshi, MD

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1871506089

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1396938882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N 92ND ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532254807",
            "telephone_number": "414-464-3880",
            "fax_number": "414-464-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 92ND ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532254807",
            "telephone_number": "414-464-3880",
            "fax_number": "414-464-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED LUTHERAN PROGRAM FOR THE AGING, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED LUTHERAN PROGRAM FOR THE AGING, INC",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "PINTER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-464-3880",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WI",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luther Manor Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline Marie Ulfig, PHARMD
• Elizabeth M Ullig, APRN
• Hulya Ulukan-Kurucay, PH.D
• Chukwuka S Umemba, MD
• Lori L Unger, APNP
• United Lutheran Program for the Aging, Inc (The Clinic at Luther Manor)
• United Seating and Mobility LLC (Numotion)
• Unity Bridge Community Services
• University of Wisconsin System Non Payroll
• Amanda M Uting, DPT

• Community Based Hospice Care Agency in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Community Based Hospice Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.