Active NPI
Prairie Rose Suites Assisted Living
Doing business as Lemmon Area Medical Association
- Assisted Living Facility
- Lemmon, SD
National Provider Identifier
1275570384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 53587
- Legal business name
- PRAIRIE ROSE SUITES ASSISTED LIVING
- Doing business as
- Lemmon Area Medical Association
- Practice address
- 405 6TH Ave W
Lemmon, SD 57638-1318 - Phone
- (605) 374-3871
- Fax
- (605) 374-3169
- NPI assigned
- May 31, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Anderson
- Title
- Billing/a.R.
- Phone
- (605) 374-3871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 53587 | SD | Primary |
Addresses
Primary practice location
405 6TH Ave W
Lemmon, SD 57638-1318
Mailing address
405 6TH Ave W
Lemmon, SD 57638-1318
Phone (605) 374-3871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9570790 | Medicaid | SD |
Other names 1
- Lemmon Area Medical Association
National Provider Directory
National Provider Directory- Tax ID family
- Five Counties Hospital Nursing Home
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Lemmon, SD
- NPI 1356311716
-
dba Five Counties Nursing Home
- Skilled Nursing Facility
- Lemmon, SD
- NPI 1417994526
Locations
405 6th Ave W
Lemmon, SD 57638
Phone (605) 374-3871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275570384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 6TH AVE W",
"city": "LEMMON",
"state": "SD",
"postal_code": "576381318",
"telephone_number": "605-374-3871",
"fax_number": "605-374-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 6TH AVE W",
"city": "LEMMON",
"state": "SD",
"postal_code": "576381318",
"telephone_number": "605-374-3871",
"fax_number": "605-374-3169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAIRIE ROSE SUITES ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "BILLING/A.R.",
"authorized_official_telephone_number": "605-374-3871",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "SD",
"license": "53587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9570790",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lemmon Area Medical Association",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lemmon, 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.