Healthcare Provider Details

I. General information

NPI: 1932147501
Provider Name (Legal Business Name): LUTHERAN SUNSET MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 N AVENUE G
CLIFTON TX
76634-1530
US

IV. Provider business mailing address

410 N. AVE G
CLIFTON TX
76634-0071
US

V. Phone/Fax

Practice location:
  • Phone: 254-675-3391
  • Fax: 254-675-3493
Mailing address:
  • Phone: 254-675-3391
  • Fax: 254-675-3493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. CALVIN O. GOERDEL
Title or Position: PRESIDENT/CHIEF EXECUTIVE OFFICER
Credential: REVEREND
Phone: 254-675-8637