Healthcare Provider Details

I. General information

NPI: 1831489913
Provider Name (Legal Business Name): LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 04/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9505 NORTHPOINTE BLVD
SPRING TX
77379-3799
US

IV. Provider business mailing address

9505 NORTHPOINTE BLVD
SPRING TX
77379-3799
US

V. Phone/Fax

Practice location:
  • Phone: 281-569-2999
  • Fax: 281-569-2998
Mailing address:
  • Phone: 281-569-2999
  • Fax: 281-569-2998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN BERKELY
Title or Position: VP SENIOR SERVICES
Credential:
Phone: 512-459-1000