INTERGENERATIONAL LIVING & HEALTH CARE, INC. (NPI# 1447293220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447293220 |
| Entity Type | Organization |
| Organization Name | INTERGENERATIONAL LIVING & HEALTH CARE, INC. |
| Other Organization Name | INN ON WESTPORT |
| Practice Address |
4000 S Westport Ave Sioux Falls SD 57106-2300 |
| Mailing Address |
1107 Hazeltine Blvd Suite 200 Chaska MN 55318-1009 |
| Practice Telephone | 6053621210 |
| Practice Fax Number | 6053618866 |
| Mailing Telephone | 9523618000 |
| Mailing Fax Number | 9523618058 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENISE GUSTAFSON (PRESIDENT) |
| Authorized Official Telephone | 9523618000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 10745 | SD | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| INN ON WESTPORT | Doing Business As Name - Organization |
| Street Address |
4000 S WESTPORT AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57106-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279675 | Complete Medical Supply | Durable Medical Equipment & Medical Supplies | 5107 W. 41st Street, Suite 4, Sioux Falls, SD 57106 | 2020-06-12 |
| 1033755384 | Priority Dental Care, Pllc | Dentist | 6301, W. 41st St., Sioux Falls, SD 57106 | 2019-11-21 |
| 1033750005 | Joel Holzapfel | Physical Therapist | 2571 Sw Lake Drive, Suite 200, Sioux Falls, SD 57106 | 2019-10-01 |
| 1043866114 | Keiser Chiropractic Prof., LLC | Chiropractor | 4009 W 49th St Ste 310, Sioux Falls, SD 57106 | 2019-08-14 |
| 1336700715 | Barbara Jean Jost | Occupational Therapy Assistant | Good Samaritan Sioux Falls Village, 3901 South Marion Road, Sioux Falls, SD 57106 | 2019-06-26 |
| 1285068346 | Aimee M Moulton | Pharmacist | 5105 S. Crossings Place Ste #4, Sioux Falls, SD 57106 | 2013-08-26 |
| 1740526870 | Frank O. Main Jr. | Marriage & Family Therapist | 4300 Louise Avenue #201, Stronghold Counseling Services, Sioux Falls, SD 57106 | 2012-12-18 |
| 1801107222 | Bridget Jean Lervick | Dentist | 5121 S. Solberg Ave., Suite 120, Sioux Falls, SD 57106 | 2010-06-30 |
| 1083855217 | Megan Jean Woodraska | Dietitian, Registered | 1900 S. Marion Rd., Sioux Falls, SD 57106 | 2009-03-18 |
| 1427216373 | Carol Marie Rowe | Occupational Therapist | 26650 Wayne Avenue, Sioux Falls, SD 57106 | 2008-05-28 |
| Find all providers in zip 57106 | ||||
| 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 |
|---|---|---|---|---|
| 1306336656 | Will Care Services, LLC | Assisted Living Facility | 4709 E 6th St, Sioux Falls, SD 57110-5851 | 2018-05-12 |
| 1629405451 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 4312 W Creekside Cir, Sioux Falls, SD 57106-5279 | 2013-10-11 |
| 1609202712 | Edgewood Prairie Crossings Sioux Falls, LLC | Assisted Living Facility | 1800 S Dorothy Ave, Sioux Falls, SD 57106-3826 | 2013-09-20 |
| 1942580915 | Edgewood Siouxs Falls Senior Living LLC | Assisted Living Facility | 3401 W Ralph Rogers Rd, Sioux Falls, SD 57108-2650 | 2011-08-23 |
| 1992093389 | Edgewood Greenleaf Sioux Falls LLC | Assisted Living Facility | 3409 E. 5th St., Sioux Falls, SD 57103-1235 | 2011-07-19 |
| 1891921565 | Good Samaritan-sanford Community Health Services | Assisted Living Facility | 1806 S Dorothy Ave, Sioux Falls, SD 57106-3826 | 2009-06-08 |
| 1053556068 | Avera Mckennan | Assisted Living Facility | 4504 S Prince of Peace Pl, Sioux Falls, SD 57103-5865 | 2008-12-04 |
| 1093997033 | Fruitcakes LLC | Assisted Living Facility | 130 N Sycamore Ave, Sioux Falls, SD 57110-1230 | 2007-12-01 |
| 1750591194 | Greenleaf Assisted Living, Inc. | Assisted Living Facility | 3409 E 5th St, Sioux Falls, SD 57103-1235 | 2007-05-23 |
| 1255374070 | American Baptist Homes of The Midwest | Assisted Living Facility | 3408 W Ralph Rogers Road, Suite 100, Sioux Falls, SD 57108 | 2006-06-13 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57106 |
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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.