Organization Active NPI

Roetell Senior Housing

  • Assisted Living Facility
  • Clark, SD
National Provider Identifier
1376702605
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11043 Issued in SD
Legal business name
ROETELL SENIOR HOUSING
Practice address
108 S Smith St
Clark, SD 57225-1627
Phone
(605) 532-5430
NPI assigned
Jun 2, 2008
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Mrs. Janet Lynn Roehrich, LPN
Title
Adm/LPN
Phone
(605) 532-5430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11043 SD Primary

Addresses

Primary practice location

108 S Smith St
Clark, SD 57225-1627

Mailing address

108 S Smith St
Clark, SD 57225-1627
Phone (605) 532-5430

National Provider Directory

National Provider Directory

Locations

108 S Smith St
Clark, SD 57225
Phone (605) 532-5430

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1376702605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S SMITH ST",
            "city": "CLARK",
            "state": "SD",
            "postal_code": "572251627",
            "telephone_number": "605-532-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S SMITH ST",
            "city": "CLARK",
            "state": "SD",
            "postal_code": "572251627",
            "telephone_number": "605-532-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROETELL SENIOR HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "ROEHRICH",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADM/LPN",
        "authorized_official_telephone_number": "605-532-5430",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "11043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.