Provider Demographics
NPI:1437146974
Name:LANSING HOUSING CORPORATION
Entity Type:Organization
Organization Name:LANSING HOUSING CORPORATION
Other - Org Name:THORNTON MANOR NURSING AND CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:563-538-4236
Mailing Address - Street 1:1329 MAIN ST
Mailing Address - Street 2:PO BOX 700
Mailing Address - City:LANSING
Mailing Address - State:IA
Mailing Address - Zip Code:52151-9615
Mailing Address - Country:US
Mailing Address - Phone:563-538-4236
Mailing Address - Fax:563-538-4460
Practice Address - Street 1:1329 MAIN ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IA
Practice Address - Zip Code:52151-9615
Practice Address - Country:US
Practice Address - Phone:563-538-4236
Practice Address - Fax:563-538-4460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA165259314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0803981Medicaid
IA0430447OtherELDERLY WAIVER
IA0430447OtherELDERLY WAIVER
IA165259Medicare Oscar/Certification