Lutherdale Bible Camp, Inc.

Primary specialty

Respite Care CampTaxonomy code 385HR2050X

Legal business name

LUTHERDALE BIBLE CAMP, INC.

Doing business as

Lutherdale

Practice address

N7891 US Highway 12
Elkhorn, WI 53121-2465

Phone

(262) 742-2352

Fax

(888) 248-4551

NPI assigned

Nov 20, 2019

Last updated

Nov 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Casey J Rohde, DO

Title

Business Administrator

Phone

(262) 742-2352

Specialties & licenses 1

Addresses

Other names 1

• Lutherdale Doing business as

Locations

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1790321255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7891 US HIGHWAY 12",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531212465",
            "telephone_number": "262-742-2352",
            "fax_number": "888-248-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N7891 US HIGHWAY 12",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531212465",
            "telephone_number": "262-742-2352",
            "fax_number": "888-248-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERDALE BIBLE CAMP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "ROHDE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "262-742-2352",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutherdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karleen Liberto
• Amanda Lindner, RN
• Rabeea Rafiq Lodhra, MD
• Victoria S Loudon, PHD
• Jeanne Luedtke
• Ashley Lynch
• Mackenzie Maccaux
• Rossana M Madamba, MD
• Stephanie A Mager, MS, LPC, SAC-IT
• James Breck Magill, DDS

• Respite Care in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• Respite Care in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.