Organization Active NPI

Yankton PH

Doing business as Prairie Homes Assisted Living

  • Assisted Living Facility (Mental Illness)
  • Yankton, SD
National Provider Identifier
1376051813
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
YANKTON PH
Doing business as
Prairie Homes Assisted Living
Practice address
300 E 6TH St
Yankton, SD 57078-4000
Phone
(605) 665-1559
NPI assigned
Jan 18, 2018
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Lethia Marienau
Title
Cfo
Phone
(605) 665-1559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

300 E 6TH St
Yankton, SD 57078-4000

Mailing address

300 E 6TH St
Yankton, SD 57078-4000

Other names 1

  • Prairie Homes Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1376051813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 6TH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 6TH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784000",
            "telephone_number": "605-665-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANKTON PH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "MARIENAU",
        "authorized_official_first_name": "LETHIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-665-1559"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Homes Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.