Gregory Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREGORY ASSISTED LIVING

Practice address

210 E 12TH Street
Gregory, SD 57533

Phone

(605) 835-9717

Fax

(605) 835-9719

NPI assigned

Jun 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Lynn Bartling, CNA

Title

Resident Director

Phone

(605) 835-9717

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Silver Threads Residence Other name

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184826547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 12TH STREET",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "57533",
            "telephone_number": "605-835-9717",
            "fax_number": "605-835-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 12TH STREET",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "57533",
            "telephone_number": "605-835-9717",
            "fax_number": "605-835-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTLING",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "RESIDENT DIRECTOR",
        "authorized_official_telephone_number": "605-835-9717",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9571420",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Threads Residence",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Gregory, SD
• Providers in Gregory, 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 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.