Lutheran Social Services of Illinois

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0021238 Issued in IL

Legal business name

LUTHERAN SOCIAL SERVICES OF ILLINOIS

Practice address

1311 Parkview Ave
Rockford, IL 61107-1899

Phone

(815) 399-8832

Fax

(815) 399-8342

NPI assigned

Oct 26, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Edmund Noonduv

Title

VP Finance Cfo

Phone

(847) 635-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PA Peterson Center for Health Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Lutheran Social Services of Illinois

  dba Welcoming Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1144613746

  Member Of

  NPD member

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427048826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E TOUHY AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185817",
            "telephone_number": "847-635-4600",
            "fax_number": "847-390-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 PARKVIEW AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071899",
            "telephone_number": "815-399-8832",
            "fax_number": "815-399-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOONDUV",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "VP FINANCE CFO",
        "authorized_official_telephone_number": "847-635-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0021238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021238",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PA Peterson Center for Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexandra Lundsteen, MS, LMFT, CADC
• Nichole Suzanne Lupei, D.O.
• Lutheran Social Services of Il
• Lutheran Social Services of Illinois (Intouch Home Care Services)
• Lutheran Social Services of Illinois
• Evelynn Luu, RPH
• Lux Box RX L.L.C.
• Lux Box RX L.L.C. (Rx Box)
• Lux Healthcare Consulting, Inc.
• Luxottica of America Inc (Target Optical #C4045)

• Skilled Nursing Facility in Rockford, IL
• Providers in Rockford, IL by specialty
• Skilled Nursing Facility in Illinois

• 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.