Lutheran Nursing Home
Organization Active NPI Skilled Nursing Facility · Concordia, MO
NPI 1760475842 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1760475842
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 029282 (MO)
- Legal business name
- LUTHERAN NURSING HOME
- Practice address
- 202 S West St
Concordia, MO 64020-9643 - Phone
- (660) 463-2267
- Fax
- (660) 463-7116
- NPI assigned
- Aug 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Paul Alan Tebbenkamp
- Title
- Office Manager
- Phone
- (660) 463-2267
Subparts reporting this organization as parent 1
National Provider Directory
Locations
202 S West St
#849
Concordia, MO 64020
Phone (660) 463-2267
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 029282 | MO | Yes |
Addresses
Primary practice location
202 S West St
Concordia, MO 64020-9643
Mailing address
202 S West St
P.O. Box 849
Concordia, MO 64020-9643
Phone (660) 463-2267
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- Jared J Dirks MD PC
- Sarah Nicole Kirchhoff
- Lutheran Good Shepherd Home
- Jennifer L McCaslin
- Jerry L. Meyer
- Raymond Scott Nold
- Physical Therapy of Concordia Inc
- Daniel Rehmsmeyer RRT
All providers in Concordia, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.