# LUTHERAN SUNSET HOME CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lutheran Sunset Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164423463
- **Authorized official:** MR. JASON D CARLSON (CEO)
- **Authorized official phone:** (701) 352-1901

## Contact information

- **Practice address:** 333 EASTERN AVE, GRAFTON, ND 58237-1233
- **Practice address phone:** (701) 352-1901
- **Practice address fax:** (701) 352-1926
- **Mailing address:** 333 EASTERN AVE, GRAFTON, ND 58237-1233
- **Mailing address phone:** (701) 352-1901
- **Mailing address fax:** (701) 352-1926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | AL34 | ND | — |
| 314000000X | Skilled Nursing Facility | 1026A | ND | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 05/06/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1636 | BC/BS | ND |
| 05 | — | 30016 | — | ND |