Vop Derian Place, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VOP DERIAN PLACE, LLC

Practice address

1801 3Rd Ave SE
Aberdeen, SD 57401-5049

Phone

(605) 846-6200

Fax

(605) 725-4888

NPI assigned

Mar 28, 2022

Organization subpart

No

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

Authorized official

Name

Terri Baker

Title

Finance and Licensing Coordinator

Phone

(503) 998-5810

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Derian Place Senior Living Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1104576370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 NE 82ND AVE STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626343",
            "telephone_number": "360-254-9442",
            "fax_number": "360-254-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 3RD AVE SE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015049",
            "telephone_number": "605-846-6200",
            "fax_number": "605-725-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOP DERIAN PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "FINANCE AND LICENSING COORDINATOR",
        "authorized_official_telephone_number": "503-998-5810"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TBD",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://sinceriseniorliving.com/derian-place/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Communities Website",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1801 3rd Ave SE",
            "city": "Aberdeen",
            "state": "SD",
            "country_code": "US",
            "postal_code": "574015049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Derian Place Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Rae Viola, MA, OTR/L
• Vision Care Associates, LLP
• Casey Randall Voehl, D.C.
• Thomas F Vogel
• Jack Barnet Vonk, M.D.
• Jordan Voss-Severson, CNP
• Adam Jason Waage, PHARM.D
• Ryanne L Waage, PA-C
• David M Wachs, MD
• Marilyn Marie Wachs, BSMT, CFCP

• Assisted Living Facility in Aberdeen, SD
• Providers in Aberdeen, 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 Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.