LAKE ANDES HEALTH CARE CENTER, INC. (NPI# 1356342851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356342851 |
| Entity Type | Organization |
| Organization Name | LAKE ANDES HEALTH CARE CENTER, INC. |
| Practice Address |
740 E Lake St Lake Andes SD 57356-2001 |
| Mailing Address |
740 E Lake St Po Box 216 Lake Andes SD 57356-2001 |
| Practice Telephone | 6054877674 |
| Practice Fax Number | 6054877071 |
| Mailing Telephone | 6054877674 |
| Mailing Fax Number | 6054877071 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2008-10-23 |
| Authorized Official Name | MRS. PAM J WELLS (ADMINISTRATOR) |
| Authorized Official Telephone | 6054877674 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 10638 | SD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0151190 | 05 | |
| SD | BLUE CROSS BLUE SHIELD | 85097 | 01 |
| Street Address |
740 E LAKE ST |
| City | LAKE ANDES |
| State | SD |
| Zip Code | 57356-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467911875 | Abbey Martin | Occupational Therapy Assistant | 740 E Lake St, Lake Andes, SD 57356-2001 | 2019-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114931797 | St. Benedict Health Center | Family Medicine | 756 East Lake Street, Lake Andes, SD 57356 | 2006-07-28 |
| 1184887804 | Dakota Hearing Instrument Inc | Hearing Instrument Specialist | 340 Main St, Lake Andes, SD 57356 | 2008-07-02 |
| 1841450129 | Monica Dawn Strait | Hearing Instrument Specialist | 340 Main St, Dakota Hearing Instrument Inc, Lake Andes, SD 57356 | 2008-06-11 |
| 1265599617 | Wollman Inc | Pharmacy | 332 Main St, Lake Andes, SD 57356 | 2007-01-03 |
| 1912092305 | Charles Mix Electric Association Inc. | Durable Medical Equipment & Medical Supplies | 440 Lake St, Lake Andes, SD 57356-0010 | 2006-10-03 |
| 1104066760 | Andes Central School District 11-1 | Local Education Agency (LEA) | 400 School Street, Lake Andes, SD 57356-0040 | 2009-02-23 |
| 1013174325 | Rural Office of Community Services Inc | Home Delivered Meals | 214 Main Street, Lake Andes, SD 57356-0070 | 2008-05-22 |
| 1720131063 | Rural Office of Community Services, Inc | Bus | 214 Main Street, Lake Andes, SD 57356-0070 | 2007-01-19 |
| 1083809206 | Rebecca Jo Moke | Nurse Practitioner | 756 E Lake Str, Lake Andes, SD 57356-0279 | 2007-09-11 |
| 1548286875 | Wagner-lake Andes Ambulance District | Ambulance | 455 E Main St., Lake Andes, SD 57356-0758 | 2006-07-13 |
| Find all providers in zip 57356 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ANDES |
| Zip Code | 57356 |
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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.