Shipley Basic Care

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

SHIPLEY BASIC CARE

Practice address

1505 3 St SE
Jamestown, ND 58401

Phone

(701) 251-1741

Fax

(701) 252-1207

NPI assigned

Jul 31, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn Shipley

Title

Administrator

Phone

(701) 251-1741

Specialties & licenses 2

Addresses

Other names 1

• Roseadele Doing business as

Locations

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548426430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 3 ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "58401",
            "telephone_number": "701-251-1741",
            "fax_number": "701-252-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 3 ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "58401",
            "telephone_number": "701-251-1741",
            "fax_number": "701-252-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPLEY BASIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-251-1741",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "ND",
            "license": "8038B",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseadele",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kylie A Schumacher
• Tammy Schwind
• Samantha Jean Sepulvado
• Heather Lynn Serfoss
• Meggan Michelle Severson, LMSW
• Julia Shirley
• Casandra Marie Shorma, OTD, OTR/L
• Davinder Singh Sian
• Arnold G Siefken, D.C.
• Timothy Harrison Sinner, D.D.S.

• Custodial Care Facility in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Custodial Care Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.