Active NPI
Tekakwitha Nursing Center Inc
Doing business as Tekakwitha Living Center
- Skilled Nursing Facility
- Sisseton, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 10685
- Legal business name
- TEKAKWITHA NURSING CENTER INC
- Doing business as
- Tekakwitha Living Center
- Practice address
- 6 E Chestnut St
Sisseton, SD 57262-1449 - Phone
- (605) 698-7693
- Fax
- (605) 698-3091
- NPI assigned
- Nov 2, 2005
- Last updated
- Nov 14, 2011
- Organization subpart
- Yes
- Parent organization
- BENEDICTINE HEALTH SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Peter Cornelius
- Title
- Administrator/Ceo
- Phone
- (605) 698-7693
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 10685 | SD | Primary |
Addresses
Primary practice location
6 E Chestnut St
Sisseton, SD 57262-1449
Mailing address
6 E Chestnut St
Sisseton, SD 57262-1449
Phone (605) 698-7693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150590 | Medicaid | SD |
Other names 1
- Tekakwitha Living Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070611000476 | SD | Part A Provider - Skilled Nursing Facility | 1850497629 | Practice locations: Sisseton, SD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1336130004. Details of each certification follow.
Skilled nursing facility certification: CCN 435038
- Legal name
- TEKAKWITHA NURSING CENTER INC
- Doing business as
- TEKAKWITHA LIVING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 7, 1988
- Last certification
- Jul 18, 2024
- Beds
- 40
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- May 8, 1995 in MN
- Enrollment address
- 6 East Chestnut St
Sisseton, SD 57262-1449 - Nursing home name
- TEKAKWITHA LIVING CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Tekakwitha Living Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Oct 7, 1988
- Medicare certification status
- Active
- Certified beds
- 40
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D0681978 | Tekakwitha Nursing Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Coteau des Prairies Health Care System
- Rural Health Clinic/Center
- Sisseton, SD
- NPI 1881740629
Member Of
Locations
6 E Chestnut St
Sisseton, SD 57262
Phone (605) 698-7693
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Gregory a Weaver | Operational/Managerial Control | Jan 1, 2016 | |
| Faye L Johnston | Corporate Director | Jan 1, 2016 | |
| Matthew R Glynn | Corporate Director | Jan 1, 2016 | |
| Leslie Hendrickson | Operational/Managerial Control | Jan 1, 2016 | |
| Terry H. Jaspers | Corporate Director | Jan 1, 2016 | |
| Steven D McCleerey | Corporate Director | Jan 1, 2016 | |
| Geraldine E Opsal | Corporate Director | Jan 1, 2016 | |
| Yvonne a Hippen | Corporate Director | Jan 1, 2016 | |
| Chad Michael Stroschein | Corporate Officer | May 16, 2018 | |
| Operational/Managerial Control | May 16, 2018 | ||
| Coteau Des Prairies Hospital | 5% Or Greater Direct Ownership Interest | Jan 1, 2016 | 100% |
| Operational/Managerial Control | Jan 1, 2016 | 100% | |
| David G Gleason | Corporate Director | Jan 1, 2016 | |
| Erin C Cameron | Corporate Director | Jan 1, 2016 |
Owners & managing parties with NPI records 6
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Coteau des Prairies Health Care System
- Home Health Agency
- Sisseton, SD
- NPI 1003825738
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Coteau des Prairies Health Care System
- Medicare Defined Swing Bed Hospital Unit
- Sisseton, SD
- NPI 1265502686
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Coteau des Prairies Health Care System
- Critical Access Hospital
- Sisseton, SD
- NPI 1417051517
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Coteau des Prairies Health Care System - Rosholt Clinic
- Clinic/Center
- Rosholt, SD
- NPI 1588978589
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Coteau des Prairies Health Care System
- Rural Health Clinic/Center
- Sisseton, SD
- NPI 1881740629
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba CDP Health Care System-Browns Valley Clinic
- Clinic/Center
- Browns Valley, MN
- NPI 1255477162
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Coteau des Prairies Health Care System
- Home Health Agency
- Sisseton, SD
- NPI 1003825738
Coteau Des Prairies Hospital
-
dba Coteau des Prairies Health Care System
- Medicare Defined Swing Bed Hospital Unit
- Sisseton, SD
- NPI 1265502686
Coteau Des Prairies Hospital
-
dba Coteau des Prairies Health Care System
- Critical Access Hospital
- Sisseton, SD
- NPI 1417051517
Coteau Des Prairies Hospital
-
dba Coteau des Prairies Health Care System - Rosholt Clinic
- Clinic/Center
- Rosholt, SD
- NPI 1588978589
Coteau Des Prairies Hospital
-
dba Coteau des Prairies Health Care System
- Rural Health Clinic/Center
- Sisseton, SD
- NPI 1881740629
Coteau Des Prairies Hospital
-
dba CDP Health Care System-Browns Valley Clinic
- Clinic/Center
- Browns Valley, MN
- NPI 1255477162
Coteau Des Prairies Hospital
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Sisseton, SD
- NPI 1831125657
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321228800000",
"number": "1336130004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 E CHESTNUT ST",
"city": "SISSETON",
"state": "SD",
"postal_code": "572621449",
"telephone_number": "605-698-7693",
"fax_number": "605-698-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 E CHESTNUT ST",
"city": "SISSETON",
"state": "SD",
"postal_code": "572621449",
"telephone_number": "605-698-7693",
"fax_number": "605-698-3091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEKAKWITHA NURSING CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BENEDICTINE HEALTH SYSTEM",
"enumeration_date": "2005-11-02",
"last_updated": "2011-11-14",
"status": "A",
"authorized_official_last_name": "CORNELIUS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "PETER",
"authorized_official_title_or_position": "ADMINISTRATOR/CEO",
"authorized_official_telephone_number": "605-698-7693",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "SD",
"license": "10685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0150590",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tekakwitha Living Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sisseton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.