Organization Active NPI

St. William's Home

Doing business as Angela Hall Assisted Living

  • Assisted Living Facility
  • Milbank, SD
National Provider Identifier
1083825707
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10649 Issued in SD
Legal business name
ST. WILLIAM'S HOME
Doing business as
Angela Hall Assisted Living
Practice address
100 S 9TH St
Milbank, SD 57252-2105
Phone
(605) 432-5811
Fax
(605) 432-3187
NPI assigned
May 24, 2007
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. WILLIAM'S HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Ms. Esther Leroux
Title
Administrator
Phone
(605) 432-3171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10737 SD
Assisted Living Facility 310400000X 10649 SD Primary

Addresses

Primary practice location

100 S 9TH St
Milbank, SD 57252-2105

Mailing address

100 South 9TH Street
Milbank, SD 57252-2105
Phone (605) 432-5811

Other identifiers 3

IdentifierTypeStateIssuer
0160220MedicaidSD
435122MedicaidSD
9571350MedicaidSD

Other names 1

  • Angela Hall Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St William's Home2 organizations share this tax ID, including this one
Part of
St William's Home

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1083825707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH 9TH STREET",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572522105",
            "telephone_number": "605-432-5811",
            "fax_number": "605-432-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 9TH ST",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572522105",
            "telephone_number": "605-432-5811",
            "fax_number": "605-432-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. WILLIAM'S HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. WILLIAM'S HOME",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "LEROUX",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-432-3171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "10737",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "10649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160220",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435122",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9571350",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angela Hall Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milbank, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.