Active NPI
Lemmon Area Medical Association
Doing business as Five Counties Nursing Home
- Skilled Nursing Facility
- Lemmon, SD
National Provider Identifier
1417994526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 10641
- Legal business name
- LEMMON AREA MEDICAL ASSOCIATION
- Doing business as
- Five Counties Nursing Home
- Practice address
- 405 6TH Ave W
Lemmon, SD 57638-1318 - Phone
- (605) 374-3871
- Fax
- (605) 374-3169
- NPI assigned
- May 31, 2006
- Last updated
- Jun 18, 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. Jannette Van Beek
- Title
- Administration
- Phone
- (605) 374-3871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 10641 | SD | Primary |
Addresses
Primary practice location
405 6TH Ave W
Lemmon, SD 57638-1318
Mailing address
405 6TH Ave W
PO Box 479
Lemmon, SD 57638-1318
Phone (605) 374-3871
Other names 1
- Five Counties Nursing Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080910000122 | SD | Part A Provider - Skilled Nursing Facility | 8325149297 | Practice locations: Lemmon, SD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1417994526. Details of each certification follow.
Skilled nursing facility certification: CCN 435090
- Legal name
- LEMMON AREA MEDICAL ASSOCIATION
- Doing business as
- FIVE COUNTIES NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 1995
- Last certification
- Mar 12, 2025
- Beds
- 38
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 18, 1988 in SD
- Enrollment address
- 405 6TH Ave W
Lemmon, SD 57638-1318 - Nursing home name
- FIVE COUNTIES NURSING HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Five Counties Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Sep 1, 1995
- Medicare certification status
- Active
- Certified beds
- 38
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Five Counties Hospital Nursing Home
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Lemmon, SD
- NPI 1356311716
-
dba Lemmon Area Medical Association
- Assisted Living Facility
- Lemmon, SD
- NPI 1275570384
Ownership & related parties
All disclosed owners & managing parties 1
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 |
|---|---|---|---|
| Chad Michael Stroschein | Corporate Director | Nov 19, 2018 | |
| W-2 Managing Employee | Nov 19, 2018 |
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.
-
- Internal Medicine Physician
- Hettinger, ND
- NPI 1609035120
Affiliated clinicians 2
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": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1417994526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 6TH AVE W",
"address_2": "PO BOX 479",
"city": "LEMMON",
"state": "SD",
"postal_code": "576381318",
"telephone_number": "605-374-3871",
"fax_number": "605-374-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 6TH AVE W",
"city": "LEMMON",
"state": "SD",
"postal_code": "576381318",
"telephone_number": "605-374-3871",
"fax_number": "605-374-3169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEMMON AREA MEDICAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "VAN BEEK",
"authorized_official_first_name": "JANNETTE",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "605-374-3871",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "SD",
"license": "10641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Five Counties Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lemmon, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.