Channel Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

41812 Issued in SD

Legal business name

CHANNEL ASSISTED LIVING LLC

Practice address

410 S Broadway St
Bryant, SD 57221-2055

Phone

(605) 628-2155

NPI assigned

May 2, 2018

Last updated

May 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wade Johnson

Title

Owner

Phone

(605) 520-5469

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1093204398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "BRYANT",
            "state": "SD",
            "postal_code": "572210278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S BROADWAY ST",
            "city": "BRYANT",
            "state": "SD",
            "postal_code": "572212055",
            "telephone_number": "605-628-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNEL ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-520-5469"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "41812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant Parkview Care Center, Inc
• Jenna Rose Christianson, RD
• Emily Hilliard, RN
• Horizon Health Care Inc (Bryant Clinic)
• Parkview Assisted Living, Inc
• South Park Assisted Living, Inc

• Assisted Living Facility in Bryant, SD
• Providers in Bryant, SD by specialty
• Assisted Living Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.