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AVERA ST MARYS NPI 1841511904


NPI Information

NPI: 1841511904
Provider Name: AVERA ST MARYS

Doing Business As: MARYHOUSE ADULT DAY CARE

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
801 E SIOUX AVE
PIERRE, SD
ZIP 57501
Phone: (605) 224-3100
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AVERA ST MARYS is an adult care home custodial care facility in Pierre, SD. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. AVERA ST MARYS NPI is 1841511904. The provider is registered as an organization entity type.
The provider Is Doing Business As Maryhouse Adult Day Care.

The provider's business location address is:

801 E SIOUX AVE
PIERRE, SD
ZIP 57501
Phone: (605) 224-3100
Fax: (605) 224-8339

The provider's authorized official is Mikel Holland .
The authorized official title is Ceo/president and has the following contact phone number (605) 224-3144.

The enumeration date for this NPI number is 6/11/2010 and was last updated on 7/15/2022.


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
1311ZA0620XCustodial Care FacilityAdult Care Home10662SOUTH 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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