LUTHERAN SOCIAL SERVICE


Address: 302 1st St., Cross Home, Adams, MN 55909
Phone: 5073243725

LUTHERAN SOCIAL SERVICE (NPI# 1417019993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417019993
Entity Type Organization
Organization Name LUTHERAN SOCIAL SERVICE
Practice Address 302 1st St.
Cross Home
Adams
MN 55909
Mailing Address 716 E St Ne
Brainerd
MN 56401-2857
Practice Telephone 5073243725
Practice Fax Number 5073243728
Mailing Telephone 2188243744
Mailing Fax Number 2188299217
Enumeration Date 2006-12-14
Last Update Date 2009-07-15
Authorized Official Name MS. JERALEE JOAN SCHOONOVER (VICE PRESIDENT, COMMUNITY SERVICES)
Authorized Official Telephone 6519692348
Is Organization Subpart Y
Parent Organization Name LUTHERAN SOCIAL SERVICE OF MN.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 800037-3-RS MN Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1134281629 Lutheran Social Service Intermediate Care Facility, Mentally Retarded 925 Amble Rd, Shoreview, MN 55126-2216 2006-12-14
1912069410 Lutheran Social Service Intermediate Care Facility, Mentally Retarded 5231 Highway 61 W, Red Wing, MN 55066-1117 2006-12-14

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities LUTHERAN SOCIAL SERVICE OF MINNESOTA 424 West Superior St Ste 600, Dduluth, Minnesota 55802
Colorado Business Entities Lutheran Social Service of Minnesota 2485 Como Avenue, St. Paul, MN 55108
Iowa Business Entities LUTHERAN SOCIAL SERVICE OF MINNESOTA 2485 Como Ave, St Paul, MN 55108
System for Award Management (SAM) Entities LUTHERAN SOCIAL SERVICES 1050 Pennsylvania Ave, York, PA 17404-1983
New York State Corporations LUTHERAN SOCIAL SERVICES FOUNDATION OF UPSTATE NEW YORK, INC. 715 Falconer Street, Jamestown, Ny 14701
New York State Corporations LUTHERAN SOCIAL SERVICES GROUP, INC. 307 Chase Bank Building, P.o. Box 1279, Jamestown, New York 14702-1279
System for Award Management (SAM) Entities LUTHERAN SOCIAL SERVICES HOUSING, INC. 3911 20th Ave S, Fargo, ND 58103-4705
System for Award Management (SAM) Entities LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO CARE LLC 500 W Wilson Bridge Rd Ste 245, Worthington, OH 43085-2283
Ohio Business Entities LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO MANSFIELD HOUSING,INC. 500 W. Wilson Bridge Rd, Ste 245, Worthington, OH 43085
Ohio Business Entities LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO MARION PLACE I HOUSING, INC. 500 W. Wilson Bridge Rd, Ste 245, Worthington, OH 43085

Office Location

Street Address 302 1ST ST.
CROSS HOME
City ADAMS
State MN
Zip Code 55909

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891854055 Joseph Patrick Ray Dentist 407 Nw Lincoln St, Adams, MN 55909 2006-12-06
1376933929 Cody Kirkpatrick Chiropractor 13 W Main St, Adams, MN 55909 2015-02-03
1477638658 Adams Area Ambulance Service Joint Powers Board Ambulance 16 E Main St, Adams, MN 55909-5002 2006-10-26
1487127197 K Chiropractic Chiropractor 311 Nw 5th St, Adams, MN 55909-9656 2019-01-04
1497967137 Southland Public School District 500 Local Education Agency (LEA) 203 Nw 2nd St, Adams, MN 55909-9686 2007-05-04
1750830790 Southern Minnesota Education Consortium 6083-52 Local Education Agency (LEA) 203 Nw 2nd St, Adams, MN 55909-9686 2016-10-03
1265443774 Phillip A Qualey Pharmacy 11 Sw 4th St, Adams, MN 55909-9688 2006-08-10
1346237849 Adams Health Care Center Skilled Nursing Facility 810 W Main St, Adams, MN 55909-9764 2005-09-30
1629616263 Adams Senior Living Solutions, Inc. Skilled Nursing Facility 810 W Main St, Adams, MN 55909-9764 2019-12-13
1124500269 Karen Stephans Physical Therapist 810 W Main St, Adams, MN 55909-9764 2018-09-05
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922502418 Harry Meyering Center, Inc. Intermediate Care Facility, Mentally Retarded 2050 Haughton Ave, North Mankato, MN 56003-1416 2018-03-20
1114385085 Lutheran Social Service of Minnesota Intermediate Care Facility, Mentally Retarded 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 2016-02-05
1255797718 Lutheran Social Service of Minnesota Intermediate Care Facility, Mentally Retarded 497 Gates Ave Nw, Elk River, MN 55330-2633 2016-01-13
1891195608 Prairie Community Services Intermediate Care Facility, Mentally Retarded 2203 Rolling Green Ln, North Mankato, MN 56003-4459 2014-08-28
1336560333 Rem Woodvale, Inc. Cottonwood Intermediate Care Facility, Mentally Retarded 2311 9th Avenue Sw, Austin, MN 55912 2013-12-18
1801228937 Rem River Bluffs, Inc. Pinewood Intermediate Care Facility, Mentally Retarded 2631 Pinewood Ridge Dr Se, Rochester, MN 55904-6227 2013-07-31
1205111770 Rem Ramsey, Inc. Intermediate Care Facility, Mentally Retarded 975 Lakewood Drive, Maplewood, MN 55119 2011-10-17
1306171939 Rem Ramsey, Inc. Intermediate Care Facility, Mentally Retarded 797 Mayhill Rd N, Maplewood, MN 55119-3828 2009-10-15
1003073487 Harmony Homes of Minnesota LLC Intermediate Care Facility, Mentally Retarded 7935 Drake Rd, Woodbury, MN 55125-1446 2008-05-22
1508033580 Allendale House Intermediate Care Facility, Mentally Retarded 3108 Highway 52 N, Rochester, MN 55901-1916 2008-05-09
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Competitor

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City ADAMS
Zip Code 55909

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Dataset Information

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.

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