GARRETSON HEALTHCARE LLC NPI 1922107887

NPI Information

NPI: 1922107887
Provider Name: GARRETSON HEALTHCARE, LLC

Doing Business As: PALISADE HEALTHCARE COMMUNITY

Classification: Nursing Home Administrator - 376G00000X
Entity Type: Organization
Address:
920 4TH ST
GARRETSON, SD
ZIP 57030
Phone: (605) 594-3466
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GARRETSON HEALTHCARE, LLC is a nursing home administrator in Garretson, SD. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. GARRETSON HEALTHCARE, LLC NPI is 1922107887. The provider is registered as an organization entity type.
The provider Is Doing Business As Palisade Healthcare Community.

The provider's business location address is:

920 4TH ST
GARRETSON, SD
ZIP 57030-006
Phone: (605) 594-3466
Fax: (605) 594-6661

The provider's authorized official is Meredith Fisher .
The authorized official title is Administrator and has the following contact phone number (605) 594-3466.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 3/18/2013.

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	License Number	License State	Primary
1	310400000X	Assisted Living Facility	58297	SOUTH DAKOTA	No
2	314000000X	Skilled Nursing Facility	10623	SOUTH DAKOTA	No
3	313M00000X	Nursing Facility/Intermediate Care Facility	10623	SOUTH DAKOTA	No
4	376G00000X	Nursing Home Administrator	10623 SKILLED NURSIN	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
1	435115	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA
2	435115	MEDICARE OSCAR/CERTIFICATION	SOUTH DAKOTA
3	0150370	MEDICAID	SOUTH DAKOTA
4	9572780	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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