Provider Demographics
NPI:1306301221
Name:LUTHERAN HOMES SOCIETY INC.
Entity type:Organization
Organization Name:LUTHERAN HOMES SOCIETY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:LORINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHALK
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:419-861-4906
Mailing Address - Street 1:2001 PERRYSBURG HOLLAND RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-7005
Mailing Address - Country:US
Mailing Address - Phone:419-861-2233
Mailing Address - Fax:419-861-2235
Practice Address - Street 1:2015 PERRYSBURG HOLLAND RD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-8002
Practice Address - Country:US
Practice Address - Phone:419-861-2233
Practice Address - Fax:419-861-2234
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUTHERAN HOMES SOCIETY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-05
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3117684Medicaid