SALEM MENNONITE HOME FOR THE AGED (NPI# 1235223942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235223942 |
| Entity Type | Organization |
| Organization Name | SALEM MENNONITE HOME FOR THE AGED |
| Other Organization Name | SALEM MENNONITE HOME |
| Practice Address |
106 W. 7th Street Freeman SD 57029-2319 |
| Practice Telephone | 6059254994 |
| Practice Fax Number | 6059254764 |
| Mailing Telephone | 6059254994 |
| Mailing Fax Number | 6059254764 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEWART HOFER (ADMINISTRATOR) |
| Authorized Official Telephone | 6059254994 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 10622 | SD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9566630 | 05 | |
| SD | 957133 | 05 |
| Other Name | Type Code |
|---|---|
| Salem Mennonite Home | Doing Business As Name - Organization |
| Street Address |
106 W. 7TH STREET |
| City | FREEMAN |
| State | SD |
| Zip Code | 57029-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982967451 | Dustin Charles Randall | Nurse Practitioner | 804 S. Walnut Street, Freeman, SD 57029 | 2012-06-20 |
| 1881732675 | Thomas Oneal Ulmer | Chiropractor | 1116 South County Rd, Freeman, SD 57029 | 2007-02-02 |
| 1790835015 | Jason Aanenson, Dds, PC | Dentist | 105 E. 5th Street, Freeman, SD 57029 | 2007-01-11 |
| 1831206820 | Freeman Regional Health Services | Skilled Nursing Facility | 510 E 8th St, Freeman, SD 57029 | 2006-08-24 |
| 1033226022 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th St, Freeman, SD 57029 | 2006-08-24 |
| 1649247248 | City of Freeman | Ambulance | 185 E 3rd St, Box 178, Freeman, SD 57029 | 2006-03-02 |
| 1003818006 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th Street, Box 370, Freeman, SD 57029 | 2005-08-10 |
| 1922212513 | Freeman Regional Health Services | General Acute Care Hospital | 510 East 8th Street, Freeman, SD 57029 | 2007-05-10 |
| 1871638882 | Freeman Regional Health Services | Nursing Care | 510 East 8th St, Freeman, SD 57029 | 2007-02-20 |
| 1063509982 | Freeman Regional Health Services | Custodial Care Facility | 510 East 8th St, Freeman, SD 57029 | 2006-10-10 |
| Find all providers in zip 57029 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277099 | Yankton Aw | Assisted Living Facility | 2903 Douglas Ave, Yankton, SD 57078-4888 | 2020-08-25 |
| 1760094122 | Mitchell Retirement | Assisted Living Facility | 2100 N Wisconsin St, Mitchell, SD 57301-1261 | 2020-08-18 |
| 1346897352 | Huron Sd Assisted Living Facility LLC | Assisted Living Facility | 1251 Arizona Ave Sw, Huron, SD 57350-3015 | 2019-08-23 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1447722210 | Sturgis Assisted Living, LLC | Assisted Living Facility | 2065 Moose Dr, Sturgis, SD 57785-4003 | 2018-12-18 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1306336656 | Will Care Services, LLC | Assisted Living Facility | 4709 E 6th St, Sioux Falls, SD 57110-5851 | 2018-05-12 |
| 1538656400 | Viborg Retirement Living, Inc | Assisted Living Facility | 211 Peterson Drive, Viborg, SD 57070 | 2018-04-17 |
| 1770004996 | Edgewood Mitchell LLC | Assisted Living Facility | 501 East Spruce Street, Mitchell, SD 57301 | 2017-06-28 |
| 1760835052 | Rclalc,llc | Assisted Living Facility | 409 E Fairlane Dr, Rapid City, SD 57701-7207 | 2016-07-21 |
| Find all providers with the same taxonomy | ||||
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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.