Provider Demographics
NPI:1831489913
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 THE VILLAGE
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 1:9505 NORTHPOINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3799
Mailing Address - Country:US
Mailing Address - Phone:281-569-2999
Mailing Address - Fax:281-569-2998
Practice Address - Street 1:9505 NORTHPOINTE BLVD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3799
Practice Address - Country:US
Practice Address - Phone:281-569-2999
Practice Address - Fax:281-569-2998
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health