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Contact Information

ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES
615 LATHAM LANE
AKRON, OH44319
 Phone: 330-499-8341
 Fax: 330-497-6141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES

NPI # 1508952185
LBN Legal business name ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES
Authorized official JOYCE MOHLER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 12/30/2020 - About 5 years ago
Identifiers
OH License # 0670N
OH Medicaid 2444797
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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