Active NPI
Morgan Lane Village
- Assisted Living Facility
- Tea, SD
National Provider Identifier
1548599350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 61559
- Legal business name
- MORGAN LANE VILLAGE
- Practice address
- 540 Morgan Lane
Tea, SD 57104 - Phone
- (605) 275-1200
- Fax
- (605) 275-1201
- NPI assigned
- Dec 8, 2009
- Organization subpart
- Yes
- Parent organization
- TEA HRC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sabrina Meierhenry, J.D.
- Title
- President of Management Firm
- Phone
- (605) 275-4747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 61559 | SD | Primary |
Addresses
Primary practice location
540 Morgan Lane
Tea, SD 57104
Mailing address
315 S Phillips Ave
Sioux Falls, SD 57104-6318
Phone (605) 275-4747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61559 | Other | SD | SD DOH LICENSE |
National Provider Directory
National Provider Directory- Part of
- Tea HRC
Locations
315 S Phillips Ave
Sioux Falls, SD 57104
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Assisted Living Facility
- Sioux Falls, SD
- NPI 1689805640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260230400000",
"number": "1548599350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S PHILLIPS AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571046318",
"telephone_number": "605-275-4747",
"fax_number": "605-336-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 MORGAN LANE",
"city": "TEA",
"state": "SD",
"postal_code": "57104",
"telephone_number": "605-275-1200",
"fax_number": "605-275-1201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORGAN LANE VILLAGE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TEA HRC",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A",
"authorized_official_last_name": "MEIERHENRY",
"authorized_official_first_name": "SABRINA",
"authorized_official_title_or_position": "PRESIDENT OF MANAGEMENT FIRM",
"authorized_official_telephone_number": "605-275-4747",
"authorized_official_credential": "J.D."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "SD",
"license": "61559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SD DOH LICENSE",
"identifier": "61559",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tea, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.