WILMOT CARE CENTER (NPI# 1639277577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639277577 |
| Entity Type | Organization |
| Organization Name | WILMOT CARE CENTER |
| Practice Address |
501 4th St Wilmot SD 57279-2232 |
| Practice Telephone | 6059384418 |
| Practice Fax Number | 6059384412 |
| Mailing Telephone | 6059384418 |
| Mailing Fax Number | 6059384412 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LYNETTE GILBERTSON (BUSINESS MANAGER) |
| Authorized Official Telephone | 6059384418 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 10712 | SD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9571652 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586604 | Wilmot Care Center | Skilled Nursing Facility | 501 4th St, Wilmot, SD 57279-2232 | 2005-05-24 |
| 1487752424 | Wilmot Care Center | Skilled Nursing Facility | 501 4th St, Wilmot, SD 57279-2232 | 2006-09-21 |
| Street Address |
501 4TH ST |
| City | WILMOT |
| State | SD |
| Zip Code | 57279-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586604 | Wilmot Care Center | Skilled Nursing Facility | 501 4th St, Wilmot, SD 57279-2232 | 2005-05-24 |
| 1487752424 | Wilmot Care Center | Skilled Nursing Facility | 501 4th St, Wilmot, SD 57279-2232 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699014910 | Amber Marie Herr | Physical Therapy Assistant | 501 4th St., Wilmot, SD 57279 | 2013-02-06 |
| 1255527594 | Wilmot School District 54-7 | Local Education Agency (LEA) | 800 Ordway St, Wilmot, SD 57279 | 2007-09-20 |
| 1447215207 | Susan Leddy | Nurse Practitioner | 409 4th St, Wilmot, SD 57279-2214 | 2006-04-17 |
| 1700925153 | Coteau Des Prairies Hospital, Inc | Clinic/Center | 409 4th St, Wilmot, SD 57279-2214 | 2007-02-05 |
| 1710033220 | Coteau Des Prairies Hospital, Inc. | Clinic/Center | 409 4th St, Wilmot, SD 57279-2214 | 2007-01-26 |
| 1770680787 | Avera Mckennan | Nurse Practitioner | 409 4th St, Wilmot, SD 57279-2214 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801361894 | Venessa Schrader | Licensed Practical Nurse | 211 Massillon St, Wilmot, OH 44689-9618 | 2018-10-05 |
| 1235653692 | Dustin Tyler Strickland | Nurse Practitioner | 203 Mccombs St, Wilmot, AR 71676-8800 | 2017-07-27 |
| 1790140564 | Mainline Health Systems, Inc | Clinic/Center | 2764 Hwy 165 S, Wilmot, AR 71676 | 2015-12-22 |
| 1699014910 | Amber Marie Herr | Physical Therapy Assistant | 501 4th St., Wilmot, SD 57279 | 2013-02-06 |
| 1093019739 | Donald Ralph Single | Emergency Medicine | 16 Mountain Overlook, Wilmot, NH 03287 | 2011-01-10 |
| 1639358500 | Wilmot Union High School District | Local Education Agency (LEA) | 11112 308th Ave, Wilmot, WI 53192 | 2007-10-29 |
| 1255527594 | Wilmot School District 54-7 | Local Education Agency (LEA) | 800 Ordway St, Wilmot, SD 57279 | 2007-09-20 |
| 1568537942 | Genter Healthcare, Inc. | Respiratory Therapist, Certified | 28 Ridgewood Common, Wilmot, NH 03287 | 2006-11-21 |
| 1952314262 | Michael D Mcdaniels | Dentist | 203 Mccomb St, Wilmot, AR 71676 | 2006-08-15 |
| 1558305201 | Wilmot Fire & Rescue, Inc. | Ambulance | 204 Mill Street, Wilmot, OH 44689 | 2006-06-15 |
| Find all providers in WILMOT | ||||
| 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 |
|---|---|---|---|---|
| 1588277099 | Yankton Aw | Assisted Living Facility | 2903 Douglas Ave, Yankton, SD 57078-4888 | 2020-08-25 |
| 1760094122 | Mitchell Retirement | Assisted Living Facility | 2100 N Wisconsin St, Mitchell, SD 57301-1261 | 2020-08-18 |
| 1346897352 | Huron Sd Assisted Living Facility LLC | Assisted Living Facility | 1251 Arizona Ave Sw, Huron, SD 57350-3015 | 2019-08-23 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1447722210 | Sturgis Assisted Living, LLC | Assisted Living Facility | 2065 Moose Dr, Sturgis, SD 57785-4003 | 2018-12-18 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1306336656 | Will Care Services, LLC | Assisted Living Facility | 4709 E 6th St, Sioux Falls, SD 57110-5851 | 2018-05-12 |
| 1538656400 | Viborg Retirement Living, Inc | Assisted Living Facility | 211 Peterson Drive, Viborg, SD 57070 | 2018-04-17 |
| 1770004996 | Edgewood Mitchell LLC | Assisted Living Facility | 501 East Spruce Street, Mitchell, SD 57301 | 2017-06-28 |
| 1760835052 | Rclalc,llc | Assisted Living Facility | 409 E Fairlane Dr, Rapid City, SD 57701-7207 | 2016-07-21 |
| 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.