AURORA BRULE NURSING HOME, INC. (NPI# 1154367571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154367571 |
| Entity Type | Organization |
| Organization Name | AURORA BRULE NURSING HOME, INC. |
| Practice Address |
408 S. Johnston St. White Lake SD 57383 |
| Practice Telephone | 6052492216 |
| Practice Fax Number | 6052492599 |
| Mailing Telephone | 6052492216 |
| Mailing Fax Number | 6052492599 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2015-03-09 |
| Authorized Official Name | TERASA I GILLEN (ADMINISTRATOR) |
| Authorized Official Telephone | 6052492216 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 10709 | SD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0160020 | 05 | |
| SD | ASSISTED LIVING WAVIER | 9570040 | 01 |
| Street Address |
408 S. JOHNSTON ST. |
| City | WHITE LAKE |
| State | SD |
| Zip Code | 57383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417175373 | White Lake Ambulance Service | Ambulance | 209 North Main Street, White Lake, SD 57383-0245 | 2007-04-23 |
| 1477942878 | Platte Community Memorial Hospital, Inc | Clinic/Center | 306 S Johnston St, White Lake, SD 57383-2251 | 2015-01-22 |
| 1417208380 | Jonathan Jay Busch | Counselor | 37451 252nd St, White Lake, SD 57383-5620 | 2012-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616216 | Elizabeth Trueblood | Occupational Therapist | 5664 Teton Trl, White Lake, MI 48383-4017 | 2020-10-12 |
| 1063010288 | Heather R Iavelli | Massage Therapist | 220 Dumaire St, White Lake, MI 48383-2697 | 2020-10-09 |
| 1285231563 | Jennifer L Herrera | Occupational Therapy Assistant | 10189 Elizabeth Lake Rd, White Lake, MI 48386-2736 | 2020-10-08 |
| 1457976516 | Candice Kiera Gibson | Social Worker | 133 Lisa Cir, White Lake, MI 48386-3445 | 2020-06-14 |
| 1659994689 | Ashlen Paige Michalski | Behavior Technician | 10301 Riverwood Ct, White Lake, MI 48386-2642 | 2020-05-26 |
| 1841813813 | Brian Joseph Allar | Registered Nurse | 1738 Ridge Rd, White Lake, MI 48383-1784 | 2020-05-25 |
| 1902431653 | Recovery Mobile Clinic | Clinic/Center | 3050 Steeple Road, White Lake, MI 48383 | 2020-03-03 |
| 1982234803 | Ashley Ziebarth | Nurse Practitioner | 9178 Highland Rd Ste 1, White Lake, MI 48386-4619 | 2020-01-20 |
| 1518501402 | Tina L Cummings | Behavior Technician | 8300 Atha St, White Lake, MI 48386-4300 | 2019-11-04 |
| 1740821339 | Farrah Laviolette | Psychiatry & Neurology | 9178 Highland Rd Ste A, White Lake, MI 48386-4619 | 2019-10-04 |
| Find all providers in WHITE LAKE | ||||
| 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 |
|---|---|---|---|---|
| 1235223405 | Trinity Continuing Care Services | Skilled Nursing Facility | 10770 Elizabeth Lake Rd, White Lake, MI 48386-2136 | 2006-10-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WHITE LAKE |
| Zip Code | 57383 |
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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.