LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC. (NPI# 1053468082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053468082 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC. |
| Other Organization Name | WEDGEWOOD SOUTH ASSISTED LIVING |
| Practice Address |
9812 Vinton Ave Lubbock TX 79424-6376 |
| Mailing Address |
Po Box 140767 Austin TX 78714-0767 |
| Practice Telephone | 8067981011 |
| Practice Fax Number | 8067940234 |
| Mailing Telephone | 5124591000 |
| Mailing Fax Number | 5124526855 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | MR. JOHN BERKELY (VICE PRESIDENT SENIOR SERVICES) |
| Authorized Official Telephone | 5124591000 |
| Is Organization Subpart | Y |
| Parent Organization Name | LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 030086 | TX | Nursing & Custodial Care Facilities |
| N | 310400000X | Assisted Living Facility | 030081 | TX | Nursing & Custodial Care Facilities |
| N | 310400000X | Assisted Living Facility | 100083 | TX | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 030082 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Wedgewood South Assisted Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084943 | Lutheran Social Services of The South, Inc. | Counselor | 10601 Derecho Drive, Austin, TX 78737-1013 | 2020-08-19 |
| 1528193018 | Lutheran Social Services of The South, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4601 N Interstate 35, Denton, TX 76207-3419 | 2007-02-23 |
| 1538203484 | Lutheran Social Services of The South, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 650 Scarbourough, Canyon Lake, TX 78133-4529 | 2007-02-16 |
| 1801942057 | Lutheran Social Services of The South, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 25752 Kingsland Blvd, Katy, TX 77494-2086 | 2007-01-27 |
| 1164579173 | Lutheran Social Services of The South, Inc. | Clinic/Center | 9640 Montwood Dr, El Paso, TX 79925-6032 | 2007-01-04 |
| 1376657742 | Lutheran Social Services of The South, Inc. | Skilled Nursing Facility | 1700 E Stone St, Brenham, TX 77833-5150 | 2006-08-19 |
| 1831489913 | Lutheran Social Services of The South, Inc. | Home Health | 9505 Northpointe Blvd, Spring, TX 77379-3799 | 2011-04-11 |
| 1538482211 | Lutheran Social Services of The South, Inc. | Home Health | 8305 Cross Park Dr, Austin, TX 78754-5154 | 2010-03-09 |
| 1508191479 | Lutheran Social Services of The South, Inc. | Counselor | 8305 Cross Park Dr, Austin, TX 78754-5154 | 2009-10-12 |
| 1952517260 | Lutheran Social Services of The South, Inc. | Assisted Living Facility | 1700 E Stone St, Brenham, TX 77833-5150 | 2007-05-15 |
| Street Address |
9812 VINTON AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-6376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1689970394 | Senior Solace LLC | Assisted Living Facility | 2510 Slide Rd, Lubbock, TX 79407-2220 | 2011-01-28 |
| 1235467457 | Sweet Embrace Assisted Living Inc. | Assisted Living Facility | 602 Fm 1294, Lubbock, TX 79403-6735 | 2009-11-28 |
| 1427279553 | Lubbock Assisted Living Limited Partnership | Assisted Living Facility | 110 Frankford Avenue, Lubbock, TX 79416 | 2007-05-02 |
| 1457572109 | Sphinx Sunrunners Inc | Assisted Living Facility | 3319 35th St, Lubbock, TX 79413 | 2007-05-01 |
| 1548387160 | Victor Ray Fulford | Assisted Living Facility | 5720 79th St, Lubbock, TX 79424-2624 | 2007-03-26 |
| 1205952876 | Assisted Living Concepts Inc | Assisted Living Facility | 8609 Boston Avenue, Lubbock, TX 79423 | 2007-03-22 |
| 1902053820 | Abiding Care | Assisted Living Facility | 5720 79th St, Lubbock, TX 79424-2624 | 2008-08-21 |
| 1568681583 | Texas Esc - Lubbock, L.p. | Assisted Living Facility | 5301 66th St, Lubbock, TX 79424-1369 | 2007-04-25 |
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| 1003415712 | Valarie C Williams | Assisted Living Facility | 2019 Greenwest Dr, Missouri City, TX 77489-4043 | 2020-10-23 |
| 1902404791 | Heritage Retreat Management Group, Inc. | Assisted Living Facility | 7105 Hot Creek Trce, Humble, TX 77346-3098 | 2020-10-13 |
| 1255939104 | Rance Carrington | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
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| 1598362840 | Golden Age Home Care | Assisted Living Facility | 12706 Mutiny Ln, Tomball, TX 77377-8420 | 2020-10-08 |
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1548874670 | A Compassionate Assisted Living LLC | Assisted Living Facility | 1008 Springbrook Dr, Desoto, TX 75115-3944 | 2020-09-04 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.