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EDGEWOOD PIERRE LLC NPI 1730554577


NPI Information

NPI: 1730554577
Provider Name: EDGEWOOD PIERRE LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 43D2093084

Address:
1950 E 4TH ST
PIERRE, SD
ZIP 57501
Phone: (605) 494-3400
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EDGEWOOD PIERRE LLC is an assisted living facility in Pierre, SD. The provider is 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. EDGEWOOD PIERRE LLC NPI is 1730554577. The provider is registered as an organization entity type.

The provider's business location address is:

1950 E 4TH ST
PIERRE, SD
ZIP 57501-201
Phone: (605) 494-3400

The provider's authorized official is Rex Carlson .
The authorized official title is Treasurer and has the following contact phone number (701) 757-5463.

The CLIA number assigned to this NPI record is 43D2093084 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2015 and was last updated on 12/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility66437SOUTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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