MEDICARE: LUTHERAN HOME- ALBEMARLE, INC.

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	314000000X	Skilled Nursing Facility	NH0140	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00888	OTHER	NC	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1215931977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUTHERAN HOME- ALBEMARLE, INC.

Provider Business Mailing Address
First Line	:	24724 S BUSINESS 52
Second Line	:
City	:	ALBEMARLE
State	:	NC
Zip	:	28001-8179
Country	:	US
Telephone Number	:	704-982-8191
Fax Number	:	704-983-1118

Provider Business Practice Location Address
First Line	:	24724 S BUSINESS 52
Second Line	:
City	:	ALBEMARLE
State	:	NC
Zip	:	28001-8179
Country	:	US
Telephone Number	:	704-982-8191
Fax Number	:	704-983-1118

Authorized Official
Title or Position	:	COO
Name	:	KESHA SMITH
Credential	:
Telephone Number	:	704-754-8222

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	02/04/2026

Similar Medicare Providers

1013104603 — LUTHERAN HOME ALBEMARLE
Practice Location Address:

24724 S BUSINESS 52
ALBEMARLE, NC
28001-8179

Practice Phone: 704-982-8191
Practice Fax: 704-983-1118

1477740066 — LUTHERAN HOME ALBEMARLE
Practice Location Address:

24724 US HIGHWAY 52 S
ALBEMARLE, NC
28001-8179

Practice Phone: 704-982-8191
Practice Fax: 704-983-1118

1578746699 — LUTHERAN HOME- ALBEMARLE, INC
Practice Location Address:

24724 US HIGHWAY 52 S
ALBEMARLE, NC
28001-8179

Practice Phone: 704-982-8191
Practice Fax: 704-983-1118

1891039277 — MRS. JAMIE RANDALL EUDY PTA
Practice Location Address:

24724 S BUSINESS 52
ALBEMARLE, NC
28001-8179

Practice Phone: 704-986-0862
Practice Fax:

1316281744 — BARBARA PRICE BLALOCK PT
Practice Location Address:

24724 S BUSINESS 52
ALBEMARLE, NC
28001-8179

Practice Phone: 704-982-1181
Practice Fax:

1528302809 — MRS. SARA ELIZABETH REDWINE PTA
Practice Location Address:

24724 S BUSINESS 52
ALBEMARLE, NC
28001-8179

Practice Phone: 704-986-0862
Practice Fax:

Directions to “LUTHERAN HOME- ALBEMARLE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.