WHITE HEALTHCARE CENTER INC (NPI# 1104814672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104814672 |
| Entity Type | Organization |
| Organization Name | WHITE HEALTHCARE CENTER INC |
| Practice Address |
200 Patricks Ave White SD 57276-2047 |
| Practice Telephone | 6056298871 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2008-10-14 |
| Authorized Official Name | HOWIE GROFF (PRESIDENT) |
| Authorized Official Telephone | 9528882923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 05001460340865EU | SD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0160230 | 05 | |
| SD | 9572020 | 05 | |
| SD | BLUE CROSS BLUE SHIELD | 85111 | 01 |
| Street Address |
200 PATRICKS AVE |
| City | WHITE |
| State | SD |
| Zip Code | 57276-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275853962 | Lori Sapp | Physical Therapist | 200 S. Patrick Ave., White, SD 57276 | 2010-06-04 |
| 1699841981 | White Ambulance Service | Ambulance | 107 N Lincoln Ave, White, SD 57276 | 2006-11-28 |
| 1487730347 | Sherri Jo Gibson | Nurse Practitioner | 302 East Fifth Street, White, SD 57276 | 2006-10-31 |
| 1790863405 | Hendricks Community Hospital Association | Clinic/Center | 302 East Fifth Street, White, SD 57276 | 2006-11-01 |
| 1104013424 | Deubrook Area School Dist 5 6 | Local Education Agency (LEA) | 100 School Ave, White, SD 57276-0346 | 2007-10-01 |
| 1912279829 | City of Brookings | Clinic/Center | 302 E 5th Street, White, SD 57276-2061 | 2012-02-08 |
| 1881231918 | Heather D Thompson | Registered Nurse | 20840 478th Ave, White, SD 57276-5904 | 2019-12-09 |
| 1619378957 | Lynelle Hagedorn | Occupational Therapy Assistant | 20440 476th Ave, White, SD 57276-5914 | 2014-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385862 | Hickory Log Vocational School Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3680 Highway 411 Ne, White, GA 30184-2427 | 2020-10-28 |
| 1881231918 | Heather D Thompson | Registered Nurse | 20840 478th Ave, White, SD 57276-5904 | 2019-12-09 |
| 1851768162 | Ashley Maeger | Speech-Language Pathologist | 505 Colonel Way Ne, White, GA 30184 | 2015-08-24 |
| 1821487687 | Jennifer Wilson | Counselor | 30 Lake Overlook Dr, White, GA 30184-4813 | 2015-01-16 |
| 1619378957 | Lynelle Hagedorn | Occupational Therapy Assistant | 20440 476th Ave, White, SD 57276-5914 | 2014-09-05 |
| 1639410095 | Melenie J Crutcher | Registered Nurse | 20 Young Deer Trl Ne, White, GA 30184-2863 | 2013-03-11 |
| 1912279829 | City of Brookings | Clinic/Center | 302 E 5th Street, White, SD 57276-2061 | 2012-02-08 |
| 1154620201 | Ouida G Sinclair | Registered Nurse | 175 Sutallee Ridge Ln Ne, White, GA 30184-3001 | 2011-03-15 |
| 1275853962 | Lori Sapp | Physical Therapist | 200 S. Patrick Ave., White, SD 57276 | 2010-06-04 |
| 1104013424 | Deubrook Area School Dist 5 6 | Local Education Agency (LEA) | 100 School Ave, White, SD 57276-0346 | 2007-10-01 |
| Find all providers in WHITE | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725841 | Lake Norden Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 803 Park Street, Lake Norden, SD 57248-0139 | 2019-05-13 |
| 1902462211 | Ipswich Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 617 Bloemendaal Drive, Ipswich, SD 57451 | 2019-05-13 |
| 1760047252 | Armour Sd Skilled Nursing Facility LLC | Skilled Nursing Facility | 106 Braddock Ave, Armour, SD 57313-2157 | 2019-05-09 |
| 1881112290 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 4825 Jericho Way, Rapid City, SD 57702-9694 | 2017-09-06 |
| 1568906386 | Lake Norden Care and Rehabilitation Center LLC | Skilled Nursing Facility | 803 Park St, Lake Norden, SD 57248 | 2016-12-13 |
| 1568835452 | Estelline Nursing and Care Center | Skilled Nursing Facility | 205 E Fjerestad Ave, Estelline, SD 57234-0130 | 2015-11-02 |
| 1740695675 | Northeast Care and Rehabilitation Center Inc | Skilled Nursing Facility | 85 S 1st Ave, Rosholt, SD 57260 | 2014-06-30 |
| 1912254459 | Bethany Lutheran Home | Skilled Nursing Facility | 3008 E Aspen Blvd, Brandon, SD 57005-2202 | 2012-08-14 |
| 1619249075 | Nicholle Marie Gilbertson | Skilled Nursing Facility | 123 Forest Ave, Vermillion, SD 57069-3107 | 2012-02-01 |
| 1841587227 | Edgewood Greenleaf Sisseton | Skilled Nursing Facility | 308 Hillview Rd., Sisseton, SD 57262-2300 | 2011-07-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.