Organization Active NPI

Bethesda of Beresford

  • Assisted Living Facility
  • Beresford, SD
National Provider Identifier
1306964838
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10595 Issued in SD
Legal business name
BETHESDA OF BERESFORD
Practice address
606 W Cedar St
Beresford, SD 57004-1125
Phone
(605) 763-2050
Fax
(605) 763-2063
NPI assigned
Mar 26, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Tanya K Lambert
Title
Billing Specialist
Phone
(605) 763-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10595 SD Primary

Addresses

Primary practice location

606 W Cedar St
Beresford, SD 57004-1125

Mailing address

606 W Cedar St
Beresford, SD 57004-1125
Phone (605) 763-2050

Other identifiers 1

IdentifierTypeStateIssuer
9572010MedicaidSD

National Provider Directory

National Provider Directory
Tax ID family
Bethesda of Beresford2 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.

Locations

606 W Cedar St
Beresford, SD 57004
Phone (605) 763-2048

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1306964838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W CEDAR ST",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "570041125",
            "telephone_number": "605-763-2050",
            "fax_number": "605-763-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W CEDAR ST",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "570041125",
            "telephone_number": "605-763-2050",
            "fax_number": "605-763-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA OF BERESFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "605-763-2050"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "10595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9572010",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beresford, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.