COLE COUNTY LUTHERAN HOME ASSOCIATION (NPI# 1396095022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396095022 |
| Entity Type | Organization |
| Organization Name | COLE COUNTY LUTHERAN HOME ASSOCIATION |
| Other Organization Name | HEISINGER BLUFFS OUTPATIENT THERAPY |
| Practice Address |
1002 W Main St Jefferson City MO 65109-6901 |
| Mailing Address |
1150 Hanley Industrial Ct Saint Louis MO 63144-1910 |
| Practice Telephone | 5736366288 |
| Practice Fax Number | 5736369306 |
| Mailing Telephone | 3149689313 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | MR. MIKE RASO (REGIONAL VICE PRESIDENT) |
| Authorized Official Telephone | 3149689313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Heisinger Bluffs Outpatient Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932320090 | Cole County Lutheran Home Association | Assisted Living Facility | 1002 W Main St, Jefferson City, MO 65109-6901 | 2007-05-02 |
| 1841384997 | Cole County Lutheran Home Association | Skilled Nursing Facility | 1002 W Main St, Jefferson City, MO 65109-6901 | 2006-10-03 |
| Street Address |
1002 W MAIN ST |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384824 | Lindsey Hagerman | Occupational Therapy Assistant | 1002 W Main St, Jefferson City, MO 65109-6901 | 2020-10-20 |
| 1952569964 | Cole County Lutheran Home Assoc | Clinic/Center | 1002 W Main St, Jefferson City, MO 65109-6901 | 2008-05-27 |
| 1932320090 | Cole County Lutheran Home Association | Assisted Living Facility | 1002 W Main St, Jefferson City, MO 65109-6901 | 2007-05-02 |
| 1841384997 | Cole County Lutheran Home Association | Skilled Nursing Facility | 1002 W Main St, Jefferson City, MO 65109-6901 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1972793321 | Therapeuticoncepts | Clinic/Center | 1515 Meadow Spring Dr, Jefferson City, TN 37760-2047 | 2007-07-31 |
| 1811104888 | Lutheran Senior Services | Clinic/Center | 1306 W Main St, Jefferson City, MO 65109-1356 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265073845 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | 9594 Manchester Rd, Saint Louis, MO 63119-1313 | 2019-10-04 |
| 1790326916 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | 11725 Manchester Rd, Des Peres, MO 63131-4616 | 2019-09-30 |
| 1477101376 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 33 Winfield Plz, Winfield, MO 63389-3451 | 2019-09-04 |
| 1104474006 | Ssm Select Rehab St. Louis, LLC | Clinic/Center | 508 W Veterans Memorial Pkwy, Warrenton, MO 63383-1046 | 2019-09-04 |
| 1497310932 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 201 Highway 34 West, Marble Hill, MO 63764 | 2019-05-09 |
| 1548715402 | Specialty Rehab & Wellness | Clinic/Center | 3309 Crystal Lake Dr, Festus, Festus, MO 63028-4274 | 2016-08-22 |
| 1679947774 | Elite Physical Therapy of Creve Coeur LLC | Clinic/Center | 12788 Olive Blvd, Creve Coeur, MO 63141-6211 | 2015-11-30 |
| 1922414028 | Prorehab, PC | Clinic/Center | 8023 W Florissant Ave Ste A, Jennings, MO 63136-1448 | 2014-07-09 |
| 1831442540 | Invigorate Rehab Inc | Clinic/Center | 1722 Olive St Ste 201, Saint Louis, MO 63103-1700 | 2012-10-18 |
| 1144598574 | Health Facilities Rehab Services Inc | Clinic/Center | 323 Business Route 63, Thayer, MO 65791 | 2011-12-13 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on COLE COUNTY LUTHERAN HOME ASSOCIATION.
| 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.