Organization Active NPI

Philip Health Services, Ins

Doing business as Silverleaf, an Assisted Living Center

  • Assisted Living Facility
  • Philip, SD
National Provider Identifier
1609078492
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11069 Issued in SD
Legal business name
PHILIP HEALTH SERVICES, INS
Doing business as
Silverleaf, an Assisted Living Center
Practice address
519 W Pine St
Philip, SD 57567-0818
Phone
(605) 859-2511
NPI assigned
Jun 4, 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
Kent Olson
Title
Ceo
Phone
(605) 859-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11069 SD Primary

Addresses

Primary practice location

519 W Pine St
Philip, SD 57567-0818

Mailing address

519 West Pine St
Philip, SD 57567-0818
Phone (605) 859-2511

Other identifiers 1

IdentifierTypeStateIssuer
9570460MedicaidSD

Other names 1

  • SILVERLEAF, AN ASSISTED LIVING CENTER Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D2326326Silverleaf Assisted Living Center519 West Pine St, Philip, SD 57567Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
G J Mangulis MD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609078492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 WEST PINE ST",
            "city": "PHILIP",
            "state": "SD",
            "postal_code": "575670818",
            "telephone_number": "605-859-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W PINE ST",
            "city": "PHILIP",
            "state": "SD",
            "postal_code": "575670818",
            "telephone_number": "605-859-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP HEALTH SERVICES, INS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-859-2511"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "11069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9570460",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILVERLEAF, AN ASSISTED LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philip, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.