NPIMap

Organization Active NPI

United Lutheran Program for the Aging, Inc

Doing business as The Clinic at Luther Manor

  • Clinic/Center
  • Wauwatosa, WI
National Provider Identifier
1467948380
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNITED LUTHERAN PROGRAM FOR THE AGING, INC
Doing business as
The Clinic at Luther Manor
Practice address
4545 N 92ND St
Wauwatosa, WI 53225-4807
Phone
(414) 464-6396
NPI assigned
Jul 3, 2018
Last updated
Jul 3, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED LUTHERAN PROGRAM FOR THE AGING, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Arthur Allen Keup
Title
Cfo
Phone
(414) 464-6396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4545 N 92ND St
Wauwatosa, WI 53225-4807

Mailing address

4545 N 92ND St
Wauwatosa, WI 53225-4807
Phone (414) 464-6396

Other names 1

  • The Clinic at Luther Manor Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1467948380",
    "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": "414-464-6396"
        },
        {
            "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": "414-464-6396"
        }
    ],
    "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": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "KEUP",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-464-6396"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Clinic at Luther Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Clinic at Luther Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.