1396938882 NPI number — UNITED LUTHERAN PROGRAM FOR THE AGING, INC

Table of content: (NPI 1396938882)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396938882 NPI number — UNITED LUTHERAN PROGRAM FOR THE AGING, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED LUTHERAN PROGRAM FOR THE AGING, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LUTHER MANOR HOSPICE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396938882
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4545 N 92ND ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAUWATOSA
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53225-4807
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
414-464-3880
Provider Business Mailing Address Fax Number:
414-464-5834

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4545 N 92ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAUWATOSA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53225-4807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-464-3880
Provider Business Practice Location Address Fax Number:
414-464-5834
Provider Enumeration Date:
08/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PINTER
Authorized Official First Name:
NANCY
Authorized Official Middle Name:
KAY
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
414-464-3880

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  APPLIED FOR , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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