Lake Region Lutheran Home, Inc., NPI 1689667834
Nursing Facility/Intermediate Care Facility in Devils Lake, ND, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1689667834
NPI Entity Type Organization
Provider Name Lake Region Lutheran Home, Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 620 14th Ave Ne, Devils Lake, ND, US
Provider Mailing Address 620 14th Ave Ne, Devils Lake, ND, US, 583012808
Is Sole Proprietor? No
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Organization Official

Official Name MRS. LNHA Karissa Olson
Official Position CEO
Phone 701-662-4905

Primary Taxonomy

Taxonomy Code

313M00000X

Taxonomy Name Nursing Facility/Intermediate Care Facility
Classification

Nursing Facility/Intermediate Care Facility

Group

Nursing & Custodial Care Facilities

License No. 1013A
License State ND
Description An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Other Organization Name

Heartland Care Center
Doing Business As

Business Address

Lake Region Lutheran Home, Inc.
620 14th Ave Ne

Devils Lake, ND, US

Phone: 701-662-4905
Fax: 701-662-9170

Mailing Address

Lake Region Lutheran Home, Inc.
620 14th Ave Ne
Devils Lake, ND, US
ZIP 583012808
Phone: 701-662-4905
Fax: 701-662-9170

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LPCC Megan Tarryn Degenstein

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