MEDICARE: SPIRITRUST LUTHERAN HOME CARE & HOSPICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	713305	PA

General Provider Information

NPI Number	:	1144203811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPIRITRUST LUTHERAN HOME CARE & HOSPICE

Provider Business Mailing Address
First Line	:	2700 LUTHER DR
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17202-8131
Country	:	US
Telephone Number	:	717-264-8178
Fax Number	:	717-264-6347

Provider Business Practice Location Address
First Line	:	2700 LUTHER DR
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17202-8131
Country	:	US
Telephone Number	:	717-264-8178
Fax Number	:	717-264-6347

Authorized Official
Title or Position	:	VICE PRESIDENT OF SLHCH
Name	:	MS. KATHLEEN SHROYER
Credential	:
Telephone Number	:	717-264-8178

Provider Enumeration Date	:	11/27/2005
Last Update Date	:	06/23/2023

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