Provider Demographics
NPI:1316002355
Name:THE LUTHERAN HOME AT TOPTON
Entity Type:Organization
Organization Name:THE LUTHERAN HOME AT TOPTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHAB DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:610-682-1478
Mailing Address - Street 1:1 S HOME AVE
Mailing Address - Street 2:
Mailing Address - City:TOPTON
Mailing Address - State:PA
Mailing Address - Zip Code:19562-1317
Mailing Address - Country:US
Mailing Address - Phone:610-682-1478
Mailing Address - Fax:610-682-1123
Practice Address - Street 1:731 LAWRENCE DR
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-1622
Practice Address - Country:US
Practice Address - Phone:610-967-3162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP000084L314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility