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Contact Information

LUTHERAN HOME FOR AGED DEVELOPMENT CORPORATION
403 NORTH FOURTH ST.
DANFORTH, IL60930
 Phone: 815-269-2970
 Fax: 815-269-2930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for LUTHERAN HOME FOR AGED DEVELOPMENT CORPORATION

NPI Number 1881671741
LBN Legal business name LUTHERAN HOME FOR AGED DEVELOPMENT CORPORATION
Authorized official JO MARIE SILVER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/30/2005
Last updated 05/13/2015 - About 11 years ago
Identifiers
IL License # 0018044
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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