Sturgis Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STURGIS ASSISTED LIVING, LLC

Practice address

2065 Moose Dr
Sturgis, SD 57785-4003

Phone

(605) 720-4738

Fax

(605) 720-1072

NPI assigned

Dec 18, 2018

Organization subpart

Yes

Parent organization

EMPRES SOUTH DAKOTA HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Michael J. Miller

Title

Cfo and Assistant Manager

Phone

(360) 892-6628

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1447722210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626736",
            "telephone_number": "360-892-6628",
            "fax_number": "360-882-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 MOOSE DR",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577854003",
            "telephone_number": "605-720-4738",
            "fax_number": "605-720-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STURGIS ASSISTED LIVING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES SOUTH DAKOTA HEALTHCARE, LLC",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO AND ASSISTANT MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven C Shores, CRNA
• Susan Aline Simle, L.I.C.S.W.
• Taressa Smith, ACT
• Bonnie Grace Sorzano, ACT
• Constance Ann Stock, MD
• Sturgis Chiropractic, P.C.
• Sturgis Physical Therapy, Inc.
• Matthew G Takahashi, DDS
• The Physical Therapy Center of Sturgis, PC
• Cameron L Thompson, BS ACT

• All providers in Sturgis, SD
• Assisted Living Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.