CLARE JOHNSON NPI 1164602462

NPI Information

NPI: 1164602462
Provider Name: CLARE JOHNSON

Doing Business As: THE HOMESTEAD ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
802 1ST AVE S
LAKE NORDEN, SD
ZIP 57248
Phone: (605) 785-3310
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CLARE JOHNSON is an assisted living facility in Lake Norden, 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. CLARE JOHNSON NPI is 1164602462. The provider is registered as an organization entity type.
The provider Is Doing Business As The Homestead Assisted Living.

The provider's business location address is:

802 1ST AVE S
LAKE NORDEN, SD
ZIP 57248-229
Phone: (605) 785-3310
Fax: (605) 785-3310

The provider's authorized official is Dianne M Johnson .
The authorized official title is Owner Adm and has the following contact phone number (605) 785-3310.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 7/10/2008.

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		11072	SOUTH DAKOTA	Yes

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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