Organization Active NPI

Leisure Living II, Inc

  • Assisted Living Facility
  • Hartford, SD
National Provider Identifier
1104084466
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
41964 Issued in SD
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

Updated by the provider on May 22, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9570660MedicaidSD

Other names 1

  • Leisure Living Hartford Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.