Provider Demographics
NPI:1679741060
Name:LUTHERAN HOME FOR THE AGED ASSOCIATION-EAST
Entity Type:Organization
Organization Name:LUTHERAN HOME FOR THE AGED ASSOCIATION-EAST
Other - Org Name:LUTHERAN HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-472-4211
Mailing Address - Street 1:1413 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52349-1695
Mailing Address - Country:US
Mailing Address - Phone:319-472-4211
Mailing Address - Fax:
Practice Address - Street 1:1413 2ND AVE
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:IA
Practice Address - Zip Code:52349-1695
Practice Address - Country:US
Practice Address - Phone:319-472-4211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health