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NPI Code Detail

MEDICARE: THE LUTHERAN HOME, INC.

MEDICARE: THE LUTHERAN HOME, 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
1261QA0600XAdult Day Care Clinic/Center
2314000000XSkilled Nursing Facility293WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285633743
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE LUTHERAN HOME, INC.
Provider Business Mailing Address
First Line : 7500 W NORTH AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53213-1717
Country : US
Telephone Number : 414-258-6170
Fax Number : 414-777-1723
Provider Business Practice Location Address
First Line : 7500 W NORTH AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53213-1717
Country : US
Telephone Number : 414-258-6170
Fax Number : 414-777-1723
Authorized Official
Title or Position : CEO/PRESIDENT
Name : KATHRYN CAVERS
Credential :
Telephone Number : 414-258-6171
Provider Enumeration Date : 07/18/2005
Last Update Date : 10/29/2025

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Directions to “THE LUTHERAN HOME, INC. ” Practice Location

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