Organization Active NPI

Spearfish Collaborative Care LLC

  • Assisted Living Facility
  • Spearfish, SD
National Provider Identifier
1144896168
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SPEARFISH COLLABORATIVE CARE LLC
Practice address
19566 Old Belle Rd
Spearfish, SD 57783-4101
Phone
(805) 320-7612
Fax
(605) 642-3063
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Sarah Allbright, LMFT
Title
Owner/Administrator
Phone
(805) 320-7612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

19566 Old Belle Rd
Spearfish, SD 57783-4101

Mailing address

19566 Old Belle Rd
Spearfish, SD 57783-4101
Phone (805) 320-7612

Other names 1

  • Serenity Corner 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": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1144896168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19566 OLD BELLE RD",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577834101",
            "telephone_number": "805-320-7612",
            "fax_number": "605-642-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19566 OLD BELLE RD",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577834101",
            "telephone_number": "805-320-7612",
            "fax_number": "605-642-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEARFISH COLLABORATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "ALLBRIGHT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "805-320-7612",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Corner",
            "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 Jun 1, 2021; 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.