MISSOURI SLOPE LUTHERAN CARE CENTER, INC. (NPI# 1518911700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518911700 |
| Entity Type | Organization |
| Organization Name | MISSOURI SLOPE LUTHERAN CARE CENTER, INC. |
| Practice Address |
2425 Hillview Ave Bismarck ND 58501-3056 |
| Practice Telephone | 7012239407 |
| Practice Fax Number | 7012226328 |
| Mailing Telephone | 7012239407 |
| Mailing Fax Number | 7012226328 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | MR. JEFFERY L WANEK (VICE PRESIDENT / CFO) |
| Authorized Official Telephone | 7012239407 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 1004A | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 030004 | 05 | |
| ND | BLUE CROSS OF NORTH DAKOT | 1339 | 01 |
| TRICARE | 38520 | 01 |
| Street Address |
2425 HILLVIEW AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-3056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598866212 | Amy Cermak | Occupational Therapist | 2425 Hillview Ave, Bismarck, ND 58501-3056 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174938773 | Manor St Joseph | Nursing Facility/Intermediate Care Facility | 404 4th Ave, Edgeley, ND 58433-7417 | 2014-06-23 |
| 1871903203 | Edmore Memorial Rest Home | Nursing Facility/Intermediate Care Facility | 301 E 4th Ave, Edmore, ND 58330-0217 | 2014-05-07 |
| 1992130389 | Rehab Visions | Nursing Facility/Intermediate Care Facility | 1831 29th St W, Williston, ND 58801-2309 | 2013-09-04 |
| 1366772105 | Dakota Pointe | Nursing Facility/Intermediate Care Facility | 3503 43rd St Nw, Mandan, ND 58554 | 2009-12-29 |
| 1346409729 | The Evangelical Lutheran Good Samaritan Society | Nursing Facility/Intermediate Care Facility | 705 4th Se, Crosby, ND 58730-3325 | 2008-06-02 |
| 1194939363 | Kensington Williston | Nursing Facility/Intermediate Care Facility | 1001 24th St W, Williston, ND 58801-3245 | 2007-05-09 |
| 1649363144 | Developmental Center Pharmacy | Nursing Facility/Intermediate Care Facility | 701 West 6th Street, Grafton, ND 58237 | 2006-10-02 |
| 1861470429 | Four Seasons Healthcare Center Inc | Nursing Facility/Intermediate Care Facility | 483 4th St Sw, Forman, ND 58032-4210 | 2006-01-04 |
| 1699757005 | The Evangelical Lutheran Good Samaritan Society | Nursing Facility/Intermediate Care Facility | 301 Main Ave, Noonan, ND 58765-0069 | 2005-11-19 |
| 1689667834 | Lake Region Lutheran Home, Inc. | Nursing Facility/Intermediate Care Facility | 620 14th Ave Ne, Devils Lake, ND 58301-2808 | 2005-08-23 |
| 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.