Active NPI
Lutheran Home for the Aged
- Home Health Agency
- Cape Girardeau, MO
National Provider Identifier
1619939196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 539-9
- Legal business name
- LUTHERAN HOME FOR THE AGED
- Practice address
- 2825 Bloomfield Rd
Cape Girardeau, MO 63703-6335 - Phone
- (573) 334-1515
- Fax
- (573) 986-6216
- NPI assigned
- Apr 3, 2006
- Organization subpart
- Yes
- Parent organization
- LUTHERAN HOME FOR THE AGED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jackie S Payne, CPA
- Title
- Cfo
- Phone
- (573) 335-0158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 539-9 | MO | Primary |
Addresses
Primary practice location
2825 Bloomfield Rd
Cape Girardeau, MO 63703-6335
Mailing address
2825 Bloomfield Rd
Cape Girardeau, MO 63703-6335
Phone (573) 334-1515
Other names 2
- LUTHERAN HOME - HOME HEALTH
- Providence Home Health & Hospice
National Provider Directory
National Provider Directory- Part of
- Lutheran Home Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678060800000",
"number": "1619939196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 BLOOMFIELD RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036335",
"telephone_number": "573-334-1515",
"fax_number": "573-986-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 BLOOMFIELD RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036335",
"telephone_number": "573-334-1515",
"fax_number": "573-986-6216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN HOME FOR THE AGED",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LUTHERAN HOME FOR THE AGED",
"enumeration_date": "2006-04-03",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "JACKIE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "573-335-0158",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "539-9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LUTHERAN HOME - HOME HEALTH",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LUTHERAN HOME - HOME HEALTH",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Providence Home Health & Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.