Organization Active NPI

Lutheran Orphans and Old Folks Home at Toledo

  • Skilled Nursing Facility
  • Toledo, OH
National Provider Identifier
1790724151
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1220 Issued in OH
Legal business name
LUTHERAN ORPHANS AND OLD FOLKS HOME AT TOLEDO
Practice address
131 N Wheeling St
Toledo, OH 43605-1525
Phone
(419) 693-0751
Fax
(419) 693-1026
NPI assigned
Jun 4, 2006
Organization subpart
Yes
Parent organization
LUTHERAN HOMES SOCIETY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mary M Shurts
Title
Treasurer
Phone
(419) 861-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1220 OH Primary

Addresses

Primary practice location

131 N Wheeling St
Toledo, OH 43605-1525

Mailing address

2021 N McCord Rd
Ste B
Toledo, OH 43615-3030
Phone (419) 861-4990

Other identifiers 2

IdentifierTypeStateIssuer
000000323842OtherOHANTHEM/BCBS
0047149MedicaidOH

Other names 1

  • Lutheran Home at Toledo Doing business as

National Provider Directory

National Provider Directory

Locations

2021 N McCord Rd
Ste B
Toledo, OH 43615

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1790724151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N MCCORD RD",
            "address_2": "STE B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153030",
            "telephone_number": "419-861-4990",
            "fax_number": "419-861-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N WHEELING ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436051525",
            "telephone_number": "419-693-0751",
            "fax_number": "419-693-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN ORPHANS AND OLD FOLKS HOME AT TOLEDO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN HOMES SOCIETY, INC.",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SHURTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "419-861-4990"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "000000323842",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047149",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Home at Toledo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.