Provider Demographics
NPI:1457357493
Name:THE LUTHERAN HOMES SOCIETY
Entity type:Organization
Organization Name:THE LUTHERAN HOMES SOCIETY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BATENHORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-299-6438
Mailing Address - Street 1:2421 LUTHERAN DR
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-9382
Mailing Address - Country:US
Mailing Address - Phone:563-263-1241
Mailing Address - Fax:563-263-4180
Practice Address - Street 1:2421 LUTHERAN DR
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-9382
Practice Address - Country:US
Practice Address - Phone:563-263-1241
Practice Address - Fax:563-263-4180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAS0121310400000X
IAN-428311500000X, 311ZA0620X, 314000000X
IA700428313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0802348Medicaid
IA65432OtherBCBS OF IOWA PROVIDER NUM
IA165432Medicare Oscar/Certification