Organization Active NPI

Lutheran Homes of SC, Inc.

  • Assisted Living Facility
  • White Rock, SC
National Provider Identifier
1790783835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
CRC-840 Issued in SC
Legal business name
LUTHERAN HOMES OF SC, INC.
Practice address
2101 Dutch Fork Road
White Rock, SC 29177
Phone
(803) 732-8800
Fax
(803) 732-8707
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David L Splittgerber, CPA
Title
VP of Finance
Phone
(803) 749-5127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CRC-840 SC Primary

Addresses

Primary practice location

2101 Dutch Fork Road
White Rock, SC 29177

Mailing address

300 Ministry Dr
Irmo, SC 29063-2366
Phone (803) 749-5110

Other names 1

  • Lowman Home Residential Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Homes of SC Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790783835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MINISTRY DR",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632366",
            "telephone_number": "803-749-5110",
            "fax_number": "803-749-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 DUTCH FORK ROAD",
            "city": "WHITE ROCK",
            "state": "SC",
            "postal_code": "29177",
            "telephone_number": "803-732-8800",
            "fax_number": "803-732-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOMES OF SC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPLITTGERBER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "803-749-5127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC-840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowman Home Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Rock, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.