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Lutheran Senior Services

Skilled Nursing Facility in Weldon Spring, MO. Organization (NPI-2).

NPI number1720172869
StatusActive
Last updated in NPPESSep 20, 2023

Details

NPI
1720172869
Entity type
Organization (NPI-2)
Legal business name
Lutheran Senior Services
Organization subpart
No
Enumeration date
Oct 3, 2006
Certification date
Sep 20, 2023
Last updated
Sep 20, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART A PROVIDER - SKILLED NURSING FACILITY
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility032551MOYes

Other names

  • Lutheran Senior Services At Breeze Park (Doing Business As)

Practice location

600 Breeze Park Dr
Weldon Spring, MO 63304-9142

Phone 636-939-5223 · Fax 636-939-5865

Mailing address

1150 Hanley Industrial Ct
Saint Louis, MO 63144-1910

Phone 314-968-9313 · Fax 314-968-5590

Authorized official

Chadwick Sneed
Chief Financial Officer
3144462405

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