Provider Demographics
NPI:1558307306
Name:SPIRITRUST LUTHERAN HOME CARE & HOSPICE
Entity Type:Organization
Organization Name:SPIRITRUST LUTHERAN HOME CARE & HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF SLHCH
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHROYER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:717-264-8178
Mailing Address - Street 1:2700 LUTHER DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202-8131
Mailing Address - Country:US
Mailing Address - Phone:717-264-8178
Mailing Address - Fax:717-264-6347
Practice Address - Street 1:187 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5010
Practice Address - Country:US
Practice Address - Phone:410-751-2429
Practice Address - Fax:410-751-5601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDHH7153251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
217153Medicare Oscar/Certification