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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | SD | Nursing & Custodial Care Facilities |
Street Address |
501 EAST SPRUCE STREET |
City | MITCHELL |
State | SD |
Zip Code | 57301 |
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 |
Find all providers in zip 57301 |
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 |
---|---|---|---|---|
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 |
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 |
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.