Sanford Living Centers

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1062B Issued in ND

Legal business name

SANFORD LIVING CENTERS

Doing business as

Sanford Health Underwood Continuing Care Center

Practice address

1000 18TH St NW
Suite 1
Mandan, ND 58554-1612

Phone

(701) 323-6000

Fax

(701) 323-5221

NPI assigned

Sep 20, 2006

Last updated

May 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John B Rieke

Title

Coo

Phone

(701) 323-8180

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Sanford Health Underwood Continuing Care Center Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Sanford Bismarck

  dba Sanford Bismarck Tom & Frances Leach Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bismarck, ND
  • NPI 1700962818

  Member Of

  NPD member
• Sanford West

  dba Sanford West Histocompatibility Laboratory

  • Clinical Medical Laboratory
  • Bismarck, ND
  • NPI 1700130515

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1588761993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 18TH ST NW",
            "address_2": "SUITE 1",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585541612",
            "telephone_number": "701-323-6000",
            "fax_number": "701-323-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 18TH ST NW",
            "address_2": "SUITE 1",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585541612",
            "telephone_number": "701-323-6000",
            "fax_number": "701-323-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD LIVING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "RIEKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "701-323-8180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1062B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "1062B",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1305",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30053",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Health Underwood Continuing Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sacred Pipe Resource Center
• Lisa Safer, RN
• Jaquelin Sandoval
• Sanford Bismarck (Sanford Home Care)
• Sanford Bismarck (Sanford Home Care)
• Kristey Schaedler
• Aubree Knikole Schafer
• Rachel Iverson Schafer, RD RDW LRD CSSD
• Brittany Gail Schauer, O.D.
• Melissa D Schauer, LMT

• Skilled Nursing Facility in Mandan, ND
• Providers in Mandan, ND by specialty
• Skilled Nursing Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.