Provider Demographics
NPI:1790783835
Name:LUTHERAN HOMES OF SC, INC.
Entity Type:Organization
Organization Name:LUTHERAN HOMES OF SC, INC.
Other - Org Name:LOWMAN HOME RESIDENTIAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPLITTGERBER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:803-749-5127
Mailing Address - Street 1:300 MINISTRY DR
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2366
Mailing Address - Country:US
Mailing Address - Phone:803-749-5110
Mailing Address - Fax:803-749-5111
Practice Address - Street 1:2101 DUTCH FORK ROAD
Practice Address - Street 2:
Practice Address - City:WHITE ROCK
Practice Address - State:SC
Practice Address - Zip Code:29177
Practice Address - Country:US
Practice Address - Phone:803-732-8800
Practice Address - Fax:803-732-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCCRC-840310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility