Lutheran Senior City

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4659 Issued in OH

Legal business name

LUTHERAN SENIOR CITY

Practice address

935 N Cassady Ave
Columbus, OH 43219-2283

Phone

(614) 252-4987

Fax

(614) 252-5952

NPI assigned

Oct 26, 2005

Last updated

Aug 22, 2020By 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

Mike Depaola

Title

Cfo

Phone

(614) 228-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lutheran Senior City2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Peregrine Health Services of Columbus LLC

  dba Summit's Trace Healthcare Center

  • Assisted Living Facility
  • Columbus, OH
  • NPI 1508322546
  NPD tax ID

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982694311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 N CASSADY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192283",
            "telephone_number": "614-252-4987",
            "fax_number": "614-252-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 N CASSADY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192283",
            "telephone_number": "614-252-4987",
            "fax_number": "614-252-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SENIOR CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEPAOLA",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-228-5200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037114",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn M Luten
• Vonta Luter
• Richard Alan Lutes, MD
• Carol Jane Luther, PTA
• Nichole Luther
• Lutheran Social Services of Central Ohio
• Lutheran Social Services of Central Ohio Inc (LSS Pharmacy)
• Lutheran Social Services of Central Ohio Inc (LLS Health Center)
• Lutheran Social Services of Central Ohio Inc (Health Center at Faith Mission)
• Jeffrey Edward Lutmer, M.D.

• Skilled Nursing Facility in Columbus, OH
• Providers in Columbus, OH by specialty
• Skilled Nursing Facility in Ohio

• 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.