LUTHERAN LIFE VILLAGES – NPI #1134493281
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

LUTHERAN LIFE VILLAGES is a skilled nursing facility (SNF) located in FORT WAYNE, IN. NPPES has assigned the NPI number 1134493281 to LUTHERAN LIFE VILLAGES on March 06, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LUTHERAN LIFE VILLAGES” is a dba name, the actual legal business name for this organization is ADAMS COUNTY MEMORIAL HOSPITAL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 11 years ago on Oct 07, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUTHERAN LIFE VILLAGES below.

NPI Profile for
ADAMS COUNTY MEMORIAL HOSPITAL

NPI Number
1134493281
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADAMS COUNTY MEMORIAL HOSPITAL
Doing Business As (dba): LUTHERAN LIFE VILLAGES
Primary location
9802 COLDWATER ROAD
FORT WAYNE, IN 46825
Phone: (260) 469-0600 Fax:
Mailing address
1100 MERCER AVENUE
DECATUR, IN 46733
Phone: (260) 724-2145 Fax: (260) 728-3852
Organization Subpart
Yes - LUTHERAN LIFE VILLAGES is subpart of another organization.
Authorized Official
DANE WHEELER
CFO
Phone: (260) 724-2145
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
313M00000X
- Nursing Facility/Intermediate Care Facility

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.