MEDICARE: LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST

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	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

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

General Provider Information

NPI Number	:	1942510201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST

Provider Business Mailing Address
First Line	:	3636 N CENTRAL AVE STE 300
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-8511
Country	:	US
Telephone Number	:	480-396-3795
Fax Number	:

Provider Business Practice Location Address
First Line	:	3777 E BROADWAY BLVD STE 100
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-5416
Country	:	US
Telephone Number	:	520-748-2300
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	CONNIE PHILLIPS
Credential	:	MSW
Telephone Number	:	480-396-3795

Provider Enumeration Date	:	10/20/2010
Last Update Date	:	04/09/2026

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Directions to “LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST ” Practice Location

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