Lutheran Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

331606 Issued in MN

Legal business name

LUTHERAN CARE CENTER INC

Practice address

1200 1St Ave NE
Little Falls, MN 56345-3309

Phone

(320) 632-9211

Fax

(320) 632-2097

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Herman Johannes

Title

President

Phone

(320) 632-9211

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1730104415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE NE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453309",
            "telephone_number": "320-632-9211",
            "fax_number": "320-632-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE NE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453309",
            "telephone_number": "320-632-9211",
            "fax_number": "320-632-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "JOHANNES",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-632-9211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "331606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9617LU",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615542100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "71-22644",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Little Falls Orthopedics, PA
• Charlotte Ann Lock, MA, LPCC, LADC
• Stephanie Locken, LMFT
• Amanda Lea Lovold, DO
• Keya M Loy
• A. Clinton Mackinney, MD, MS
• Amir Makhmalbaf, M.D.
• Mary'S House
• Mason Orth PC MN
• Leslie McCoy, CHW

• Skilled Nursing Facility in Little Falls, MN
• Providers in Little Falls, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.