LUTHERAN HOMES OF SC, INC.
Assisted Living Facility
Mt Pleasant, South Carolina
Provider NPI: 1235137779
Organization Information:Organization Name: LUTHERAN HOMES OF SC, INC.
Practice Location:
1885 RIFLE RANGE RD MT PLEASANT, SC 29464 US
Tel: 843-856-4700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1885 RIFLE RANGE RD MT PLEASANT, SC 29464 US
Tel: 843-856-4700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | SC | CRC-1082 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | SC | 800 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS OF MI | 7101BECRPSNF0B | 01 | |
UNITED AMERICAN INS CO | C425374 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin