Jolene Johnson

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

712 1St Ave S
Lake Norden, SD 57248-3205

Phone

(605) 520-5868

Fax

(605) 785-3320

NPI assigned

Aug 15, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Homestead Day Services, LLC

  • Adult Day Care Clinic/Center
  • Lake Norden, SD
  • NPI 1487577730
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1013893858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 1ST AVE S # 229",
            "city": "LAKE NORDEN",
            "state": "SD",
            "postal_code": "572483206",
            "telephone_number": "605-520-5868",
            "fax_number": "605-785-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 1ST AVE S",
            "city": "LAKE NORDEN",
            "state": "SD",
            "postal_code": "572483205",
            "telephone_number": "605-520-5868",
            "fax_number": "605-785-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerad Robert Bludorn, DC
• Rebekah Grace Eide, COTA
• Natalie Anita Garza, LMT
• Homestead Assisted Living. LLC (The Homestead Assisted Living)
• Homestead Day Services, LLC
• Lake Norden Ambulance District
• Lake Norden Care and Rehabilitation Center LLC (Lake Norden Care and Rehabilitation Center)
• Lake Norden Family Chiropractic Center PA
• Lake Norden SD Skilled Nursing Facility LLC (Avantara Lake Norden)
• Sanford Medical Center (Sanford Clinic Lake Norden)

• Adult Companion in Lake Norden, SD
• Providers in Lake Norden, SD by specialty
• Adult Companion in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.