NPIMap

Organization Active NPI

Lutheran Social Services of the South, Inc.

Doing business as LaRoche Manor

  • Assisted Living Facility
  • Brenham, TX
National Provider Identifier
1952517260
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
101116 Issued in TX
Legal business name
LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
Doing business as
LaRoche Manor
Practice address
1700 E Stone St
Brenham, TX 77833-5150
Phone
(979) 830-1996
Fax
(979) 830-0215
NPI assigned
May 15, 2007
Last updated
May 17, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Mr. Coy Fontenot
Title
Assistant Executive Director
Phone
(979) 830-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 101116 TX Primary

Addresses

Primary practice location

1700 E Stone St
Brenham, TX 77833-5150

Mailing address

PO Box 140767
Austin, TX 78714-0767
Phone (512) 459-1000

Other names 1

  • LaRoche Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Home of West T11 organizations share this tax ID, including this one
Part of
Lutheran Home of West T

Other organizations with this tax ID 10

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1952517260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140767",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787140767",
            "telephone_number": "512-459-1000",
            "fax_number": "512-452-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E STONE ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335150",
            "telephone_number": "979-830-1996",
            "fax_number": "979-830-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "COY",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "979-830-0073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "101116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaRoche Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.