LAKE NORDEN SD SKILLED NURSING FACILITY LLC (NPI# 1538725841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538725841 |
| Entity Type | Organization |
| Organization Name | LAKE NORDEN SD SKILLED NURSING FACILITY LLC |
| Practice Address |
803 Park Street Lake Norden SD 57248-0139 |
| Mailing Address |
3450 Oakton St Skokie IL 60076-2951 |
| Practice Telephone | 6057853654 |
| Practice Fax Number | 6057853578 |
| Mailing Telephone | 8476799797 |
| Mailing Fax Number | 8476791126 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | CHAIM RAJCHENBACH (CEO/PRINCIPAL) |
| Authorized Official Telephone | 8476799797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Avantara Lake Norden | Doing Business As Name - Organization |
| Street Address |
803 PARK STREET |
| City | LAKE NORDEN |
| State | SD |
| Zip Code | 57248-0139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568906386 | Lake Norden Care and Rehabilitation Center LLC | Skilled Nursing Facility | 803 Park St, Lake Norden, SD 57248 | 2016-12-13 |
| 1336191550 | Ggnsc Lake Norden LLC | Skilled Nursing Facility | 803 Park St., Lake Norden, SD 57248 | 2006-05-16 |
| 1730154550 | Lake Norden Ambulance District | Ambulance | 600 Main Avenue, 600 Main Avenue, Lake Norden, SD 57248-0071 | 2006-02-23 |
| 1801875265 | Judi L Anderson | Nurse Practitioner | 512 Main Ave, Lake Norden, SD 57248-0079 | 2006-01-13 |
| 1417927559 | Sanford Clinic | Family Medicine | 512 Main Ave, Lake Norden, SD 57248-0079 | 2006-01-23 |
| 1164602462 | Clare Johnson | Assisted Living Facility | 802 1st Ave S, Lake Norden, SD 57248-0229 | 2007-11-05 |
| 1629076435 | Jerad Robert Bludorn | Chiropractor | 505 Main Ave, Lake Norden, SD 57248-0252 | 2005-07-14 |
| 1700062601 | Lake Norden Family Chiropractic Center | Chiropractor | 505 Main Ave, Lake Norden, SD 57248-0252 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568906386 | Lake Norden Care and Rehabilitation Center LLC | Skilled Nursing Facility | 803 Park St, Lake Norden, SD 57248 | 2016-12-13 |
| 1164602462 | Clare Johnson | Assisted Living Facility | 802 1st Ave S, Lake Norden, SD 57248-0229 | 2007-11-05 |
| 1336191550 | Ggnsc Lake Norden LLC | Skilled Nursing Facility | 803 Park St., Lake Norden, SD 57248 | 2006-05-16 |
| 1730154550 | Lake Norden Ambulance District | Ambulance | 600 Main Avenue, 600 Main Avenue, Lake Norden, SD 57248-0071 | 2006-02-23 |
| 1801875265 | Judi L Anderson | Nurse Practitioner | 512 Main Ave, Lake Norden, SD 57248-0079 | 2006-01-13 |
| 1629076435 | Jerad Robert Bludorn | Chiropractor | 505 Main Ave, Lake Norden, SD 57248-0252 | 2005-07-14 |
| 1700062601 | Lake Norden Family Chiropractic Center | Chiropractor | 505 Main Ave, Lake Norden, SD 57248-0252 | 2008-01-10 |
| 1417927559 | Sanford Clinic | Family Medicine | 512 Main Ave, Lake Norden, SD 57248-0079 | 2006-01-23 |
| 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 |
|---|---|---|---|---|
| 1568906386 | Lake Norden Care and Rehabilitation Center LLC | Skilled Nursing Facility | 803 Park St, Lake Norden, SD 57248 | 2016-12-13 |
| 1336191550 | Ggnsc Lake Norden LLC | Skilled Nursing Facility | 803 Park St., Lake Norden, SD 57248 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1851619720 | Highmore Nursing Home, Inc. | Skilled Nursing Facility | 410 8th Street Se, Highmore, SD 57345 | 2010-05-17 |
| 1154556868 | Shane Daniel Lee Duffy | Skilled Nursing Facility | 609 1st St Sw, De Smet, SD 57231-2258 | 2009-05-26 |
| Find all providers with the same taxonomy | ||||
| City | LAKE NORDEN |
| Zip Code | 57248 |
Please comment or provide details below to improve the information on LAKE NORDEN SD SKILLED NURSING FACILITY LLC.
| 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.