LUTHERAN ORPHANS AND OLD FOLKS HOME AT WOLF CREEK (NPI# 1427096056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427096056 |
| Entity Type | Organization |
| Organization Name | LUTHERAN ORPHANS AND OLD FOLKS HOME AT WOLF CREEK |
| Other Organization Name | LUTHERAN VILLAGE AT WOLF CREEK |
| Practice Address |
2001 Perrysburg Holland Rd Holland OH 43528-7005 |
| Mailing Address |
2021 N Mccord Rd Ste B Toledo OH 43615-3030 |
| Practice Telephone | 4198612233 |
| Practice Fax Number | 4198612234 |
| Mailing Telephone | 4198614990 |
| Mailing Fax Number | 4198612710 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MARY M SHURTS (TREASURER) |
| Authorized Official Telephone | 4198614990 |
| Is Organization Subpart | Y |
| Parent Organization Name | LUTHERAN HOMES SOCIETY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2148 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM/BCBS | 000000319925 | 01 |
| OH | 2020360 | 05 |
| Other Name | Type Code |
|---|---|
| Lutheran Village at Wolf Creek | Doing Business As Name - Organization |
| Street Address |
2001 PERRYSBURG HOLLAND RD |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528-7005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873847 | Talia Gibson | Occupational Therapist | 2001 Perrysburg Holland Rd, Holland, OH 43528-7005 | 2020-08-26 |
| 1306301221 | Lhs, Inc Dba Lutheran Village At Wolf Creek Assisted Living | Assisted Living Facility | 2001 Perrysburg Holland Rd, Holland, OH 43528-7005 | 2019-02-05 |
| 1245704527 | Nicholas Wong | Physical Therapist | 2001 Perrysburg Holland Rd, Holland, OH 43528-7005 | 2019-01-19 |
| 1356837058 | Tessa K Larimer | Physical Therapist | 2001 Perrysburg Holland Rd, Holland, OH 43528-7005 | 2018-07-05 |
| 1861985749 | Zachary Nathaniel Judge | Physical Therapist | 2001 Perrysburg Holland Rd, Holland, OH 43528-7005 | 2018-06-14 |
| 1326538570 | Caitlin Faye Fidell | Physical Therapist | 2001 Perrysburg Holland Rd, Holland, OH 43528-7005 | 2018-05-14 |
| 1942715651 | Laura L Siegel | Speech-Language Pathologist | 2001 Perrysburg Holland Rd, Holland, OH 43528-7005 | 2017-12-05 |
| 1487167417 | Amanda Leigh Godsey | Physical Therapist | 2001 Perrysburg Holland Rd, Holland, OH 43528-7005 | 2017-11-13 |
| 1104339142 | Allison Malone | Speech-Language Pathologist | 2001 Perrysburg Holland Rd, Holland, OH 43528-7005 | 2017-11-13 |
| 1669830097 | Rachel Lopez | Occupational Therapist | 2001 Perrysburg Holland Rd, Holland, OH 43528-7005 | 2016-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366759821 | Matthew Robinson | Skilled Nursing Facility | 9049 Frankfort Rd, Holland, OH 43528-8908 | 2010-09-07 |
| 1235325028 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 1221 E 16th St, Holland, MI 49423-9127 | 2007-09-14 |
| 1942239223 | Resthaven | Skilled Nursing Facility | 280 W 40th St, Holland, MI 49423 | 2006-06-30 |
| 1194766998 | Heartland of Holland Mi LLC | Skilled Nursing Facility | 493 W 32nd St, Holland, MI 49423-7201 | 2006-06-10 |
| 1568412690 | Ccrc Opco - Holland, LLC | Skilled Nursing Facility | 145 Columbia Ave, Holland, MI 49423-2981 | 2006-05-11 |
| 1659373298 | Diakon Lutheran Social Ministries | Skilled Nursing Facility | 280 Middle Holland Road, Holland, PA 18966-4822 | 2005-08-12 |
| 1134747033 | Twining Village Snf Operating Company LLC | Skilled Nursing Facility | 280 Middle Holland Rd, Holland, PA 18966-4822 | 2020-07-08 |
| 1225578727 | Spring Meadow Nursing & Rehabilitation Centre LLC | Skilled Nursing Facility | 1125 Clarion Ave, Holland, OH 43528-8107 | 2017-03-02 |
| 1215473194 | Holland Opco II, LLC | Skilled Nursing Facility | 493 W 32nd St, Holland, MI 49423-7201 | 2017-01-16 |
| 1477940799 | Teresa Alfaro | Skilled Nursing Facility | 1221 E 16th St, Holland, MI 49423-9127 | 2015-04-24 |
| Find all providers in HOLLAND | ||||
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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.