Organization Active NPI

Lutheran Homes of Michigan, Inc.

  • Assisted Living Facility
  • Frankenmuth, MI
National Provider Identifier
1609870286
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AH 730236833 Issued in MI
Legal business name
LUTHERAN HOMES OF MICHIGAN, INC.
Practice address
725 W Genesee St
Home for the Aged
Frankenmuth, MI 48734-1316
Phone
(989) 652-9951
Fax
(989) 652-0339
NPI assigned
Jun 10, 2005
Organization subpart
Yes
Parent organization
LUTHERAN HOMES OF MICHIGAN, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Mr. Timothy Robert Kalbfleisch
Title
Cfo
Phone
(248) 635-3316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AH 730236833 MI Primary

Addresses

Primary practice location

725 W Genesee St
Home for the Aged
Frankenmuth, MI 48734-1316

Mailing address

9710 Junction Rd
P.O. Box 329
Frankenmuth, MI 48734-0329
Phone (989) 652-3470

Other identifiers 1

IdentifierTypeStateIssuer
O 9648OtherMIBCBS PROVIDER #

Other names 1

  • Lutheran Home-Frankenmuth-Home for Aged Other name

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Home Care Agency Inc6 organizations share this tax ID, including this one
Part of
Lutheran Home Care Agency Inc

Other organizations with this tax ID 5

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": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1609870286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 JUNCTION RD",
            "address_2": "P.O. BOX 329",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487340329",
            "telephone_number": "989-652-3470",
            "fax_number": "989-652-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W GENESEE ST",
            "address_2": "HOME FOR THE AGED",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341316",
            "telephone_number": "989-652-9951",
            "fax_number": "989-652-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOMES OF MICHIGAN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN HOMES OF MICHIGAN, INC.",
        "enumeration_date": "2005-06-10",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "KALBFLEISCH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "248-635-3316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AH 730236833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "O 9648",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Home-Frankenmuth-Home for Aged",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frankenmuth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.