Mitchell Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10653 Issued in SD

Legal business name

MITCHELL HEALTHCARE, LLC

Doing business as

Firesteel Healthcare Center

Practice address

1120 E 7TH Ave
Mitchell, SD 57301-2908

Phone

(605) 996-6526

Fax

(605) 996-8290

NPI assigned

Nov 20, 2006

Organization subpart

Yes

Parent organization

MISSION HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas E. Boerboom

Title

Chief Operating Officer

Phone

(952) 873-7907

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Firesteel Healthcare Center Doing business as

Part of

Welcov Healthcare LLC

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1457425704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E 7TH AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012908",
            "telephone_number": "605-996-6526",
            "fax_number": "605-996-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E 7TH AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012908",
            "telephone_number": "605-996-6526",
            "fax_number": "605-996-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION HEALTHCARE, LLC",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "BOERBOOM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "952-873-7907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SD",
            "license": "10653",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "10653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150912",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firesteel Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitchell Chiropractic & Acupuncture Center, P.C.
• Mitchell Clinic LTD
• Mitchell Dental Clinic LLC (The Dental Clinic)
• Mitchell Diagnostic
• Mitchell Family Practice, PC
• Mitchell Retirement (Countryside Living)
• Mitchell School District
• Mitchell Surgical Prof. L.L.C.
• Joshua Mark Moody, PT
• Ty Alexander Moody, MD

• Skilled Nursing Facility in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.