Luther Memorial Home

LBN: Luther Memorial Home
Luther Memorial Home is an health care organization with primary practice located at 750 Main St E , Mayville ND 58257-1606. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Luther Memorial Home can be contacted via phone (701) 786-3401, or through Ulrich, Brett via phone (701) 786-3401.

Contact Information

Primary practice address
750 Main St E Mayville ND 58257-1606
Phone: (701) 786-3401
Fax: (701) 786-9022
Website:
Map and Directions
Authorized official contact:
Name: Ulrich, Brett
Phone: (701) 786-3401

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 027 North Dakota
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL23 North Dakota
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1039A North Dakota

Profile Details

NPI number 1497755185
LBN Legal business name Luther Memorial Home
DBA Doing business as
Authorized official Ulrich, Brett
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Oct 11th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497755185 NPPES
North Dakota MEDICAID 30024
North Dakota MEDICAID 3050271 00
North Dakota Other 001115
North Dakota Other 9846LU

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