Organization Active NPI

Morningside Manor

  • Nursing Facility/Intermediate Care Facility
  • Alcester, SD
National Provider Identifier
1184610339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
10591 Issued in SD
Legal business name
MORNINGSIDE MANOR
Practice address
101 Church St.
Alcester, SD 54001-0500
Phone
(605) 934-2011
Fax
(605) 934-9923
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Desiree Duncan
Title
Administrator
Phone
(605) 934-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 10591 SD Primary

Addresses

Primary practice location

101 Church St.
Alcester, SD 54001-0500

Mailing address

101 Church Street
Alcester, SD 54001-0500
Phone (605) 934-2011

Other identifiers 1

IdentifierTypeStateIssuer
0150560MedicaidSD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184610339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHURCH STREET",
            "city": "ALCESTER",
            "state": "SD",
            "postal_code": "540010500",
            "telephone_number": "605-934-2011",
            "fax_number": "605-934-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHURCH ST.",
            "city": "ALCESTER",
            "state": "SD",
            "postal_code": "540010500",
            "telephone_number": "605-934-2011",
            "fax_number": "605-934-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-934-2011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "SD",
            "license": "10591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150560",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alcester, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.