Lake Norden Care and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE NORDEN CARE AND REHABILITATION CENTER LLC

Doing business as

Lake Norden Care and Rehabilitation Center

Practice address

803 Park St
Lake Norden, SD 57248

Phone

(605) 785-3654

Fax

(605) 785-3578

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Joseph Schwartz

Title

Manager

Phone

(201) 635-1195

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake Norden Care and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1568906386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 139",
            "city": "LAKE NORDEN",
            "state": "SD",
            "postal_code": "572480139",
            "telephone_number": "605-785-3654",
            "fax_number": "605-785-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 PARK ST",
            "city": "LAKE NORDEN",
            "state": "SD",
            "postal_code": "57248",
            "telephone_number": "605-785-3654",
            "fax_number": "605-785-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NORDEN CARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "435059",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Norden Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Anita Garza, LMT
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• Homestead Day Services, LLC
• Jolene Johnson
• Lake Norden Ambulance District
• Lake Norden Family Chiropractic Center PA
• Lake Norden SD Skilled Nursing Facility LLC (Avantara Lake Norden)
• Sanford Medical Center (Sanford Clinic Lake Norden)
• Jackson Louis Snell
• Woodleaf LLC

• Skilled Nursing Facility in Lake Norden, SD
• Providers in Lake Norden, 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 Jul 19, 2017; 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.