Active NPI
Roetell Senior Housing
- Assisted Living Facility
- Clark, SD
National Provider Identifier
1376702605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 11043
- 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, 2008
- 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. Janet Lynn Roehrich, LPN
- Title
- Adm/LPN
- Phone
- (605) 532-5430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Sandra Hovde II, PT
- Hovdes Physical Therapy Clinic
- Hovdes Physical Therapy Clinic LLC
- Ann Larson, PT
- Paige Paulson, D.C
- Roetell Senior Housing
- Sanford Medical Center (Lewis Family Drug #57)
- Sanford Medical Center (Sanford Clinic Clark)
- Spieker Dental, Inc (Clark Family Dental Center)
- Craig Dean Spieker, D.D.S.
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.