HILDAS HERITAGE HOME INC NPI 1033312269

NPI Information

NPI: 1033312269
Provider Name: HILDAS HERITAGE HOME INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 43D1089642

Address:
220 S LINCOLN ST
LENNOX, SD
ZIP 57039
Phone: (605) 647-5515
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HILDAS HERITAGE HOME INC is an assisted living facility in Lennox, 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. HILDAS HERITAGE HOME INC NPI is 1033312269. The provider is registered as an organization entity type.

The provider's business location address is:

220 S LINCOLN ST
LENNOX, SD
ZIP 57039
Phone: (605) 647-5515
Fax: (605) 647-5502

The provider's authorized official is Edith Marie Buseman .
The authorized official title is Lpn Manager and has the following contact phone number (605) 647-5515.

The CLIA number assigned to this NPI record is 43D1089642 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 8/7/2007.

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
1	310400000X	Assisted Living Facility		10741	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9570550	MEDICAID	SOUTH DAKOTA

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

NPI Synchronization or Removal

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