NPIMap

Organization Active NPI

Greenleaf Assisted Living, Inc.

  • Assisted Living Facility
  • Flandreau, SD
National Provider Identifier
1457561805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
46723 Issued in SD
Legal business name
GREENLEAF ASSISTED LIVING, INC.
Practice address
800 S Wind St
Flandreau, SD 57028-2008
Phone
(605) 997-2775
Fax
(605) 997-3859
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Constantine George Chamales
Title
Owner and Operations Officer
Phone
(605) 692-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 46723 SD Primary

Addresses

Primary practice location

800 S Wind St
Flandreau, SD 57028-2008

Mailing address

PO Box 8594
Brookings, SD 57006-8594
Phone (605) 692-1230

National Provider Directory

National Provider Directory
Tax ID family
Greenleaf Assisted Living Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457561805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8594",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570068594",
            "telephone_number": "605-692-1230",
            "fax_number": "605-692-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S WIND ST",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570282008",
            "telephone_number": "605-997-2775",
            "fax_number": "605-997-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMALES",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER AND OPERATIONS OFFICER",
        "authorized_official_telephone_number": "605-692-1230"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "46723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flandreau, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.