LUTHERAN SENIOR SERVICES (NPI# 1972985646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972985646 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SENIOR SERVICES |
| Other Organization Name | REACH SHORT STAY REHAB |
| Practice Address |
12120 Conway Rd Saint Louis MO 63141-8213 |
| Mailing Address |
1150 Hanley Industrial Ct Saint Louis MO 63144-1910 |
| Practice Telephone | 3149689313 |
| Practice Fax Number | 3149685590 |
| Mailing Telephone | 3149689313 |
| Mailing Fax Number | 3149685590 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-07-21 |
| Authorized Official Name | MR. MICHAEL T RASO (REGIONAL VICE PRESIDENT) |
| Authorized Official Telephone | 3144462533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LEGACY CCN | 26-5298 | 01 |
| Other Name | Type Code |
|---|---|
| REACH Short Stay Rehab | 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 |
| 1114147634 | Lutheran Senior Services | Assisted Living Facility | 1633 Laclede Station Rd, Saint Louis, MO 63117-2038 | 2007-04-26 |
| 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 |
| 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 |
12120 CONWAY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437149382 | Mark Steven Lauer | Pharmacist | 12120 Conway Rd, Saint Louis, MO 63141-8213 | 2005-10-24 |
| 1013089564 | Jodie Rae Pohl | Occupational Therapist | 12120 Conway Rd, Saint Louis, MO 63141-8213 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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 |
|---|---|---|---|---|
| 1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1821472069 | Aperion Care Hidden Lake LLC | Skilled Nursing Facility | 11728 Hidden Lake Dr, Saint Louis, MO 63138-1757 | 2015-07-17 |
| 1023241023 | Genesis Rehab Services | Skilled Nursing Facility | 5022 Deville Ave, Saint Louis, MO 63119-4324 | 2009-08-25 |
| 1912197948 | Charla Deiter | Skilled Nursing Facility | 7733 Forsyth Blvd Ste 1700, Saint Louis, MO 63105-1801 | 2007-07-26 |
| 1356565030 | Ebg Health Care I, Inc. | Skilled Nursing Facility | 2939 Magazine St, Saint Louis, MO 63106-1245 | 2007-04-12 |
| 1558585240 | Ebg Health Care II, Inc. | Skilled Nursing Facility | 2900 N Prairie Ave, Saint Louis, MO 63107-2302 | 2007-04-12 |
| 1003933607 | Mcknight Place Extended Care LLC | Skilled Nursing Facility | 2 Mcknight Pl, Saint Louis, MO 63124-1900 | 2007-03-26 |
| 1366570079 | St. Johns Place, Inc. | Skilled Nursing Facility | 3333 Brown Rd, Saint Louis, MO 63114-4327 | 2007-03-02 |
| 1134269301 | Gmg, Inc | Skilled Nursing Facility | 5000 S Broadway, Saint Louis, MO 63111-2015 | 2007-02-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on LUTHERAN SENIOR SERVICES.
| 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.