1639121726 NPI number — LUTHERAN FAMILY SERVICES OF NE, INC

Table of content: (NPI 1639121726)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639121726 NPI number — LUTHERAN FAMILY SERVICES OF NE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LUTHERAN FAMILY SERVICES OF NE, 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:
Provider Other Organization Name Type Code:
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:
1639121726
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7929 W CENTER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OMAHA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68124-3104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
877-518-1070
Provider Business Mailing Address Fax Number:
402-591-5075

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7929 W CENTER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68124-3104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-518-1070
Provider Business Practice Location Address Fax Number:
402-591-5075
Provider Enumeration Date:
05/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TONNIGES
Authorized Official First Name:
CHRIS
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
402-978-5647

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP1600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 346986000 . This is a "MAGELLAN FREMONT" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 347047000 . This is a "MAGELLAN PAPILLION OFFICE" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 204343000 . This is a "MAGELLAN DOWNTOWN OFFICE" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 347046000 . This is a "WEST OMAHA OFFICE" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 347045000 . This is a "MAGELLAN NORTH OMAHA OFC" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 346978000 . This is a "MAGELLAN BELLEVUE" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 347048000 . This is a "MSGELLAN PLATTSMOUTH OFC" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 34698000 . This is a "MAGELLAN BLAIR" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".




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