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NPI Code Detail

MEDICARE: LUTHERAN COMMUNITY SERVICES FOR THE AGED, INC.

MEDICARE: LUTHERAN COMMUNITY SERVICES FOR THE AGED, 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
1251E00000XHome Health Agency1010284IL
2261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1952343337
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUTHERAN COMMUNITY SERVICES FOR THE AGED, INC.
Provider Business Mailing Address
First Line : 3150 W SALT CREEK LN
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-5024
Country : US
Telephone Number : 847-368-7399
Fax Number : 224-735-4002
Provider Business Practice Location Address
First Line : 800 W OAKTON ST
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4602
Country : US
Telephone Number : 847-368-7399
Fax Number : 224-735-4002
Authorized Official
Title or Position : DIRECTOR
Name : ELAINE ALCANTARA
Credential :
Telephone Number : 773-732-8208
Provider Enumeration Date : 06/12/2006
Last Update Date : 12/10/2021

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