LUTHERAN SENIOR SERVICES (NPI# 1114147634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114147634 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SENIOR SERVICES |
| Other Organization Name | LUTHERAN SENIOR SERVICES AT RICHMOND TERRACE |
| Practice Address |
1633 Laclede Station Rd Saint Louis MO 63117-2038 |
| Mailing Address |
1150 Hanley Industrial Ct Saint Louis MO 63144-1910 |
| Practice Telephone | 3146468000 |
| Practice Fax Number | 3146455217 |
| Mailing Telephone | 3149689313 |
| Mailing Fax Number | 3149685590 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | CHADWICK SNEED (SR VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 3144462405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 033878 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 265303503 | 05 |
| Other Name | Type Code |
|---|---|
| Lutheran Senior Services at Richmond Terrace | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457675704 | Lutheran Senior Services | Home Health | 1150 Hanley Industrial Ct, Saint Louis, MO 63144-1910 | 2010-03-16 |
| 1467602656 | Lutheran Senior Services | Assisted Living Facility | 1 Meramec Bluffs Dr, Ballwin, MO 63021-3309 | 2008-09-24 |
| 1770743510 | Lutheran Senior Services | Assisted Living Facility | 1420 N Franklin St, Wilmington, DE 19806-3178 | 2008-06-16 |
| 1275790867 | Lutheran Senior Services | Clinic/Center | 3710 Lenoir St, Columbia, MO 65201-5463 | 2008-05-21 |
| 1356556625 | Lutheran Senior Services | Skilled Nursing Facility | 1306 W Main St, Jefferson City, MO 65109-1356 | 2007-05-11 |
| 1205057494 | Lutheran Senior Services | Assisted Living Facility | 3801 Miller Dr, Columbia, MO 65201 | 2007-05-02 |
| 1114148251 | Lutheran Senior Services | Assisted Living Facility | 727 S Laclede Station Rd S, Saint Louis, MO 63119-4911 | 2007-05-02 |
| 1770664161 | Lutheran Senior Services | Home Health | 1300 Strassner Dr, Saint Louis, MO 63144-1873 | 2006-10-18 |
| 1548354624 | Lutheran Senior Services | Skilled Nursing Facility | 3850 Cartwright Ln, Columbia, MO 65201-7779 | 2006-10-03 |
| 1720172869 | Lutheran Senior Services | Skilled Nursing Facility | 600 Breeze Park Dr, Weldon Spring, MO 63304-9142 | 2006-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LUTHERAN SENIOR SERVICES | 1150 Hanley Industrial Ct, Saint Louis, MO 63144-1910 |
| Massachusetts Corporations | LUTHERAN SENIOR SERVICES | 1150 Hanley Industrial Ct., St. Louis, MO 63144 |
| System for Award Management (SAM) Entities | LUTHERAN SENIOR SERVICES, INC. | 1201 N Harrison St Apt 1204, Wilmington, DE 19806-3534 |
| Street Address |
1633 LACLEDE STATION RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912462037 | Dunn-dunn House LLC | Assisted Living Facility | 2133 Jannette Dr, Saint Louis, MO 63136-4020 | 2019-02-02 |
| 1932608932 | Sw Living LLC | Assisted Living Facility | 1501 Clinton St, Saint Louis, MO 63106-4100 | 2018-02-05 |
| 1790295558 | Avalon Memory Care, LLC | Assisted Living Facility | 5342 Butler Hill Rd, Saint Louis, MO 63128-4152 | 2017-10-06 |
| 1275074957 | Americare At South St. Louis, LLC | Assisted Living Facility | 4962 Mattis Rd, Saint Louis, MO 63128-2795 | 2017-03-15 |
| 1326400888 | Shonta Clark | Assisted Living Facility | 325 Rose Ln, Saint Louis, MO 63122-5911 | 2016-03-24 |
| 1184001836 | Carondelet Retirement Manor | Assisted Living Facility | 6811 Michigan Ave, Saint Louis, MO 63111-2834 | 2015-05-01 |
| 1275910341 | Holly Hills Retirement Home | Assisted Living Facility | 6421 Minnesota Ave, Saint Louis, MO 63111-2808 | 2015-04-28 |
| 1487044293 | Neelum LLC | Assisted Living Facility | 3610 Palm St, Saint Louis, MO 63107-2206 | 2015-02-01 |
| 1104235548 | Garden Villas of South County, Inc. | Assisted Living Facility | 13457 Tesson Ferry Rd, Saint Louis, MO 63128-4010 | 2014-08-11 |
| 1124439708 | St. Anthony's Physician Organization | Assisted Living Facility | 9735 Landmark Parkway Dr Ste 200, Saint Louis, MO 63127-1666 | 2014-05-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.