Active NPI
Leisure Living II, Inc
- Assisted Living Facility
- Hartford, SD
National Provider Identifier
1104084466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 41964
- Legal business name
- LEISURE LIVING II, INC
- Practice address
- 305 W 5TH St
Hartford, SD 57033-2275 - Phone
- (605) 528-7406
- NPI assigned
- May 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Sabers
- Title
- Treasurer
- Phone
- (605) 770-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 41964 | SD | Primary |
Addresses
Primary practice location
305 W 5TH St
Hartford, SD 57033-2275
Mailing address
27 Arrowhead Pass
Mitchell, SD 57301-5073
Phone (605) 770-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9570660 | Medicaid | SD |
Other names 1
- Leisure Living Hartford
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1104084466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 ARROWHEAD PASS",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573015073",
"telephone_number": "605-770-2500",
"fax_number": "605-292-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W 5TH ST",
"city": "HARTFORD",
"state": "SD",
"postal_code": "570332275",
"telephone_number": "605-528-7406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEISURE LIVING II, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "SABERS",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "605-770-2500"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "SD",
"license": "41964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9570660",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Leisure Living Hartford",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hartford, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.