Provider Demographics
NPI:1790821346
Name:SPIRITRUST LUTHERAN HOME CARE & HOSPICE
Entity Type:Organization
Organization Name:SPIRITRUST LUTHERAN HOME CARE & HOSPICE
Other - Org Name:SACRED HEART HOME CARE & HOSPICE
Other - Org Type:Doing Business As
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:
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 1:451 CHEW ST STE 103
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3412
Practice Address - Country:US
Practice Address - Phone:610-391-2300
Practice Address - Fax:610-391-2307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA16991601251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
391699Medicare PIN