Edgewood Prairie Crossings Sioux Falls

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10684 Issued in SD

Legal business name

EDGEWOOD PRAIRIE CROSSINGS SIOUX FALLS

Practice address

1806 S Dorothy Ave
Sioux Falls, SD 57106-3826

Phone

(605) 361-0056

Fax

(605) 361-0158

NPI assigned

Sep 20, 2013

Organization subpart

No

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

Authorized official

Name

Barbara Kramer

Title

Director of Utilization Review

Phone

(701) 317-0892

Specialties & licenses 1

Addresses

Tax ID family

Edgewood Prairie Crossings Sioux Falls2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Edgewood Prairie Crossings Sioux Falls, LLC

  • Assisted Living Facility
  • Sioux Falls, SD
  • NPI 1609202712
  NPD tax ID

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1245666353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 DEMERS AVE",
            "address_2": "SUITE 500",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014754",
            "telephone_number": "701-317-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 S DOROTHY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063826",
            "telephone_number": "605-361-0056",
            "fax_number": "605-361-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD PRAIRIE CROSSINGS SIOUX FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR OF UTILIZATION REVIEW",
        "authorized_official_telephone_number": "701-317-0892"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "10684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Eckrich, MD
• Brian Eclov
• Holly Edblom
• Eden Rise LLC
• Edgewood Greenleaf Sioux Falls LLC
• Edgewood Prairie Crossings Sioux Falls, LLC
• Edgewood Siouxs Falls Senior Living LLC
• Susanne J. Edison-Harris, LPC-MH, QMHP, LAC
• Elizabeth Cecilia Edman, CNP
• Jeffrey Spencer Edman, MD

• Assisted Living Facility in Sioux Falls, SD
• Providers in Sioux Falls, 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 Sep 20, 2013; 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.