Provider Demographics
NPI:1538482211
Name:LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
Entity Type:Organization
Organization Name:LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
Other - Org Name:CARE CONNECT AT HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:VP SENIOR SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERKELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-459-1000
Mailing Address - Street 1:8305 CROSS PARK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-5154
Mailing Address - Country:US
Mailing Address - Phone:512-459-1000
Mailing Address - Fax:512-452-6855
Practice Address - Street 1:8305 CROSS PARK DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-5154
Practice Address - Country:US
Practice Address - Phone:512-459-1000
Practice Address - Fax:512-452-6855
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health