Organization · Type 2 NPI

Martin Luther Home Corporation

Nursing Facility/Intermediate Care Facility · Dubuque, IA

NPI number 1508850512 Active

Practice location

3131 Hillcrest Rd
Dubuque, IA 52001

Fax (563) 588-2770

Specialties and licenses

Taxonomy	Code	License
In Home Supportive Care Agency	253Z00000X	None listed
Alzheimer Center (Dementia Center)	311500000X	NF-452 (IA)
Nursing Facility/Intermediate Care Facility Primary	313M00000X	NF-452 (IA)
Skilled Nursing Facility	314000000X	NF-452 (IA)

Nursing Facility/Intermediate Care Facility: 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 conditi…

9 other providers at this address

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NPI record

NPI: 1508850512
Entity type: Organization (Type 2)
Issued: Sep 6, 2005
Last updated: Mar 4, 2022
Status: Active

Other names

<unavail>
Luther Manor Retirement Home · doing business as
Luther Manor Retirement Home · doing business as

Authorized official

Kim Harkey
Administrator
(563) 690-6628

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508850512

Martin Luther Home Corporation's National Provider Identifier is 1508850512, issued on Sep 6, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Dubuque, IA. The record was last updated on Mar 4, 2022.