Organization Active NPI

Ward Enterprises LLP

Doing business as Evergreen Assisted Living

  • Assisted Living Facility
  • Viborg, SD
National Provider Identifier
1043494768
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
41073 Issued in SD
Legal business name
WARD ENTERPRISES LLP
Doing business as
Evergreen Assisted Living
Practice address
211 N Peterson St
Viborg, SD 57070-2012
Phone
(605) 326-5503
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Joseph E Ward
Title
Ceo
Phone
(605) 332-0938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 41073 SD Primary

Addresses

Primary practice location

211 N Peterson St
Viborg, SD 57070-2012

Mailing address

130 N Sycamore Ave
Sioux Falls, SD 57110-1230
Phone (605) 332-0938

Other identifiers 1

IdentifierTypeStateIssuer
9572492MedicaidSD

Other names 1

  • Evergreen Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colton Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1043494768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N SYCAMORE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571101230",
            "telephone_number": "605-332-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N PETERSON ST",
            "city": "VIBORG",
            "state": "SD",
            "postal_code": "570702012",
            "telephone_number": "605-326-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARD ENTERPRISES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-332-0938"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "41073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9572492",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Viborg, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.