THE LEACH HOME


Address: 714 4th St N, Wahpeton, ND 58075-3939
Phone: 7016424283

THE LEACH HOME (NPI# 1487929089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487929089
Entity Type Organization
Organization Name THE LEACH HOME
Practice Address 714 4th St N
Wahpeton
ND 58075-3939
Practice Telephone 7016424283
Practice Fax Number 7016421500
Mailing Telephone 7016424283
Mailing Fax Number 7016421500
Enumeration Date 2012-03-14
Last Update Date 2012-03-15
Authorized Official Name MRS. BARBARA A BOOCK (ADMINISTRATOR)
Authorized Official Telephone 7016424283
Authorized Official Credential LPN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311Z00000X Custodial Care Facility 8033A ND Nursing & Custodial Care Facilities

Office Location

Street Address 714 4TH ST N
City WAHPETON
State ND
Zip Code 58075-3939

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861745838 Benedictine Living Community of Wahpeton Skilled Nursing Facility 711 14th Avenue North, Wahpeton, ND 58075 2012-10-16
1538385844 Michelle Catherine Stach Physical Therapy Assistant 1307 4 Ave North, Wahpeton, ND 58075 2007-04-17
1881717122 Red River Human Services Foundation Intermediate Care Facility, Mentally Retarded 1348 15th Av N, Wahpeton, ND 58075 2007-04-10
1972626216 Red River Human Services Foundation Intermediate Care Facility, Mentally Retarded 821 Western Rd, Wahpeton, ND 58075 2007-04-10
1700908589 Red River Human Services Foundation Intermediate Care Facility, Mentally Retarded 348 14th St N, Wahpeton, ND 58075 2007-04-04
1275626053 Richland County Public Health or Welfare 413 3rd Avenue North, Wahpeton, ND 58075 2006-10-02
1962503896 Brian James Quamme Dentist 910 16th Ave N, Wahpeton, ND 58075 2006-09-25
1083720114 Judith Kay Schmidt Dentist 2005 Woodland Drive, Wahpeton, ND 58075 2006-08-22
1891240354 Concept Dentistry PC Dentist 1999 4th St N, Wahpeton, ND 58075 2016-08-24
1255704318 Mandy Naumann Physical Therapist 332 2nd Ave N, Wahpeton, ND 58075 2015-11-10
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Taxonomy Information

Taxonomy Code 311Z00000X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility

Taxonomy Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548803265 The Baptist Apartments Inc Dba Prairie Pointe Custodial Care Facility 3330 Nebraska Dr, Bismarck, ND 58503-1663 2019-10-25
1295142784 Dakota Hill Housing Corporation Custodial Care Facility 606 Dakota St N, Elgin, ND 58533-7157 2014-07-16
1518373224 St. Anne's Guest Home Custodial Care Facility 524 N 17th St, Grand Forks, ND 58203-3085 2014-07-02
1588079156 The Odd Fellows and Rebekah Home of North Dakota Inc. Custodial Care Facility 1107 Walnut St E, Devils Lake, ND 58301-3240 2014-06-23
1578998753 Borg Pioneer Memorial Home Custodial Care Facility 61 Borg Dr, Mountain, ND 58262-6201 2013-09-06
1689942609 The Evangelical Lutheran Good Samaritan Society Custodial Care Facility 1332 10th St Ne, Devils Lake, ND 58301-2329 2011-12-05
1134437932 Golden Manor Inc Custodial Care Facility 214 4th Street Nw, Steele, ND 58482-7317 2010-09-15
1831420348 Sanford-good Samaritan Community Health Services, LLC Custodial Care Facility 316 Versailles Ave, Bismarck, ND 58503-0390 2010-01-22
1962673608 The Evangelical Lutheran Good Samaritan Society Custodial Care Facility 4502 37th Ave S, Fargo, ND 58104-7599 2008-03-21
1316143175 Evergreen Dickinson, LLC Custodial Care Facility 2143 6th Ave W, Dickinson, ND 58601-2700 2007-06-26
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Competitor

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City WAHPETON
Zip Code 58075

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Dataset Information

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.

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