Organization Active NPI

Derosier Inc

Doing business as Garden Hills Assisted Living

  • Assisted Living Facility
  • Spearfish, SD
National Provider Identifier
1114204096
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DEROSIER INC
Doing business as
Garden Hills Assisted Living
Practice address
905 S 34TH St
Spearfish, SD 57783-9449
Phone
(605) 642-0404
Fax
(605) 722-1887
NPI assigned
Nov 7, 2011
Last updated
Jan 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Mrs. Kimberly Jo Derosier, PT
Title
Administrator/Owner
Phone
(605) 642-0404

Specialties & licenses 1

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

Addresses

Primary practice location

905 S 34TH St
Spearfish, SD 57783-9449

Mailing address

905 S 34TH St
Spearfish, SD 57783-9449
Phone (605) 642-0404

Other names 1

  • Garden Hills Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1114204096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S 34TH ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577839449",
            "telephone_number": "605-642-0404",
            "fax_number": "605-722-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S 34TH ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577839449",
            "telephone_number": "605-642-0404",
            "fax_number": "605-722-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEROSIER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "DEROSIER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "605-642-0404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Hills Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.