# LUTHERAN HOMES OF MICHIGAN, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUTHERAN HOMES OF MICHIGAN, INC
- **Other names:** Wellspring Lutheran Services, Lutheran Home-Monroe
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417951146
- **Legal business name:** LUTHERAN HOMES OF MICHIGAN, INC
- **Authorized official:** TIMOTHY ROBERT KALBFLEISCH (CFO)
- **Authorized official phone:** (248) 635-3316

## Contact information

- **Practice address:** 1236 S MONROE ST, MONROE, MI 48161-3934
- **Practice address phone:** (734) 241-9533
- **Practice address fax:** (734) 241-9108
- **Mailing address:** 9710 JUNCTION RD., P.O. BOX 329, FRANKENMUTH, MI 48734-0329
- **Mailing address phone:** (989) 652-3470
- **Mailing address fax:** (989) 652-3480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 584020 | MI | Yes |

## Other

- **Enumeration date:** 06/10/2005
- **Last updated:** 09/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2081821 | — | MI |
| 01 | — | O 9665 | BCBS INS. PROVIDER \# | MI |