EDGEWOOD MITCHELL LLC


Address: 501 East Spruce Street, Mitchell, SD 57301
Phone: 7017382000

EDGEWOOD MITCHELL LLC (NPI# 1770004996) 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) 1770004996
Entity Type Organization
Organization Name EDGEWOOD MITCHELL LLC
Practice Address 501 East Spruce Street
Mitchell
SD 57301
Mailing Address 322 Demers Ave Ste 500
Grand Forks
ND 58201
Practice Telephone 7017382000
Mailing Telephone 7017575410
Mailing Fax Number 7017382001
Enumeration Date 2017-06-28
Last Update Date 2017-06-28
Authorized Official Name MR. REX CARLSON (EXEC VP, CFO, TREASURER)
Authorized Official Telephone 7017575463
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility SD Nursing & Custodial Care Facilities

Office Location

Street Address 501 EAST SPRUCE STREET
City MITCHELL
State SD
Zip Code 57301

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932721388 Dakota Counseling Institute Social Worker 910 W Havens, Mitchell, SD 57301 2020-05-08
1215588512 Carolyn Marie Klinkhammer Registered Nurse 525 North Foster - Avera Queen of Peace Hospital, Mitchell, SD 57301 2019-09-27
1720596893 Brian Bannwarth Pharmacist 25147 Campground Road, Mitchell, SD 57301 2018-01-11
1336664135 Haley Long Speech-Language Pathologist 200 East Havens, Mitchell, SD 57301 2017-08-14
1467831685 Amanda Louise Johnson Physical Therapist 910 S Edgerton, Mitchell, SD 57301 2015-05-20
1922432830 Melissa Jill Maier Dentist 240 E 23 Ave, Mitchell, SD 57301 2013-08-27
1356626972 Lewis Family Drug, LLC Pharmacy 1507 N Main St, Mitchell, SD 57301 2011-10-14
1184945958 Kimberly L Lienemann Counselor 403 N Lawler St, Mitchell, SD 57301 2010-06-16
1134365554 Gronsten-maier Dental Prof. LLC Dentist 240 E. 23rd Avenue, Mitchell, SD 57301 2009-01-07
1851543961 Lifequest Day Training, Developmentally Disabled Services 804 N. Mentzer, Mitchell, SD 57301 2008-10-21
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760094122 Mitchell Retirement Assisted Living Facility 2100 N Wisconsin St, Mitchell, SD 57301-1261 2020-08-18
1518393636 Edgewood Prairie Crossings Mitchell Assisted Living Facility 2201 N Wisconsin St, Mitchell, SD 57301-1074 2013-09-20
1073749743 Good Samaritan-sanford Community Health Services Assisted Living Facility 2211 N Wisconsin St, Mitchell, SD 57301-1074 2009-06-08
1164613279 Tender Hearts Assisted Living Facility 1510 E 1st Ave, Mitchell, SD 57301-3706 2007-08-05
1689712952 City of Mitchell Assisted Living Facility 1723 23rd St, Mitchell, NE 69357 2007-02-01
1497750384 Avera Queen of Peace Assisted Living Facility 1414 W Cedar Ave, Mitchell, SD 57301-3868 2005-06-16
1649566209 Rosewood Court Assisted Living Facility 910 W Havens Ave, Mitchell, SD 57301-3831 2011-06-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588277099 Yankton Aw Assisted Living Facility 2903 Douglas Ave, Yankton, SD 57078-4888 2020-08-25
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
1760835052 Rclalc,llc Assisted Living Facility 409 E Fairlane Dr, Rapid City, SD 57701-7207 2016-07-21
1730554577 Edgewood Pierre LLC Assisted Living Facility 1950 E 4th St, Pierre, SD 57501-4201 2015-12-04
1083089825 Edgewood Prairie Crossings Watertown Il LLC Assisted Living Facility 901 14th Ave Ne, Watertown, SD 57201-6817 2015-12-04
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City MITCHELL
Zip Code 57301

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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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