LUTHERAN HOME FOR THE AGED ASSOCIATION-EAST


Address: 1130 W 53rd St, Davenport, IA 52806-2401
Phone: 5633915342

LUTHERAN HOME FOR THE AGED ASSOCIATION-EAST (NPI# 1730259813) 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) 1730259813
Entity Type Organization
Organization Name LUTHERAN HOME FOR THE AGED ASSOCIATION-EAST
Other Organization Name DAVENPORT LUTHERAN HOME
Practice Address 1130 W 53rd St
Davenport
IA 52806-2401
Mailing Address Po Box 559
Vinton
IA 52349-0559
Practice Telephone 5633915342
Practice Fax Number 3194722256
Mailing Telephone 3194724211
Mailing Fax Number 3194722256
Enumeration Date 2006-11-08
Last Update Date 2016-07-13
Authorized Official Name DIANE GLOEDE (COO)
Authorized Official Telephone 3194724211
Is Organization Subpart Y
Parent Organization Name LUTHERAN HOME FOR THE AGED ASSOCIATION-EAST

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 820211 IA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA 0800961 05

Other Provider/Organization Names

Other Name Type Code
Davenport Lutheran Home Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679741060 Lutheran Home for The Aged Association-east Home Health 1413 2nd Ave, Vinton, IA 52349-1695 2008-02-19
1770653867 Lutheran Home for The Aged Association-east Skilled Nursing Facility 1301 2nd Ave, Vinton, IA 52349-1638 2006-11-08

Office Location

Street Address 1130 W 53RD ST
City DAVENPORT
State IA
Zip Code 52806-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881163301 Lori Ann Greenwood Occupational Therapist 1130 W 53rd St, Davenport, IA 52806-2401 2018-11-14
1942662432 Kelly Dirksen Occupational Therapist 1130 W 53rd St, Davenport, IA 52806-2401 2016-03-23
1497169668 Claire Daniel Speech-Language Pathologist 1130 W 53rd St, Davenport, IA 52806-2401 2014-06-16
1497938237 Vicki Lynn Trainer Speech-Language Pathologist 1130 W 53rd St, Davenport, IA 52806-2401 2007-12-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912543257 June Swain Nurse Practitioner Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 2019-11-21
1881055747 Jace Carter Chiropractor 235 West 35th Street Suite 2d, Davenport, IA 52806 2016-03-18
1538468210 Cody Krech Dentist 141 E 46th St, Davenport, IA 52806 2011-03-21
1619287216 Robert Earl Clark Occupational Therapist 6623 N Main St, Davenport, IA 52806 2010-10-15
1689902579 Nicholas P. Carlson Nurse Practitioner 3801 Marguette Street, Suite 200, Davenport, IA 52806 2009-12-03
1295821114 David Lee Botsko Dentist 2334 W. Kimberly Road, Davenport, IA 52806 2006-10-05
1598712903 Select Specialty Hospital - Quad Cities Inc Long Term Care Hospital 1111 West Kimberly Road, Davenport, IA 52806 2006-05-30
1528030350 Warren Wright Occupational Therapist 1008 W 35th St, Davenport, IA 52806 2006-02-06
1144291568 Gerald Wallace Hess Chiropractor 2711 W 63rd St, Ste #1, Davenport, IA 52806 2006-02-01
1487642286 Virginia Armstrong Chiropractor 4811 N Brady St Ste 1a, Davenport, IA 52806 2005-10-06
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932362431 Manorcare Health Services LLC Skilled Nursing Facility 3800 Commerce Blvd, Davenport, IA 52807-3495 2008-07-03
1093819211 Lincoln County Hospital District #3 Skilled Nursing Facility 10 Nichols St, Davenport, WA 99122-9729 2006-09-08
1871501486 206 Management LLC Skilled Nursing Facility 206 W Orange St, Davenport, FL 33837-3118 2006-08-03
1811922826 Fejervary Health Care Center Skilled Nursing Facility 800 E Rusholme St, Davenport, IA 52803-2547 2006-07-11
1760420798 Manor Care of Davenport Ia LLC Skilled Nursing Facility 815 E Locust St, Davenport, IA 52803-4345 2006-06-03
1962468769 Petersen Health Care, Inc. Skilled Nursing Facility 4656 W Kimberly Rd, Davenport, IA 52806-7111 2006-04-21
1013910553 Kahl Home for The Aged & Infirm Skilled Nursing Facility 6701 Jersey Ridge Road, Davenport, IA 52807 2005-05-28
1639615271 Accordius Health At St Mary, LLC Skilled Nursing Facility 800 E Rusholme St, Davenport, IA 52803-2547 2017-01-06
1619427689 Rusholme Healthcare, Inc. Skilled Nursing Facility 800 E Rusholme St, Davenport, IA 52803-2547 2016-10-13
1104255488 206 Golden LLC Skilled Nursing Facility 206 W Orange St, Davenport, FL 33837-3118 2013-11-06
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City DAVENPORT
Zip Code 52806

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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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