LUTHERAN HOMES
Assisted Living Facility
Twin Valley, Minnesota
Provider NPI: 1487648598
Organization Information:Organization Name: LUTHERAN HOMES
Practice Location:
208 OPPEGARD AVE NW TWIN VALLEY, MN 56584 US
Tel: 218-584-5181 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:
208 OPPEGARD AVE NW TWIN VALLEY, MN 56584 US
Tel: 218-584-5181 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MN | 328507 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICA PROVIDER NUMBER | 71-22703 | MN | 01 |
546242800 | MN | 05 | |
030221 | ND | 05 | |
BLUE CROSS & BLUE SHIELD | 9751 LU | MN | 01 |
UCARE MINNESOTA | NH 0586 | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin