NPIMap

Organization Active NPI

Greenleaf Assisted Living, Inc.

  • Assisted Living Facility
  • Sisseton, SD
National Provider Identifier
1609086040
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
41332 Issued in SD
Legal business name
GREENLEAF ASSISTED LIVING, INC.
Practice address
308 Hillview Rd
Sisseton, SD 57262-2300
Phone
(605) 698-3500
Fax
(605) 742-0548
NPI assigned
May 23, 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
Mr. Constantine George Chamales
Title
Owner and Operations Officer
Phone
(605) 692-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 41332 SD Primary

Addresses

Primary practice location

308 Hillview Rd
Sisseton, SD 57262-2300

Mailing address

PO Box 8594
Brookings, SD 57006-8594
Phone (605) 692-1230

National Provider Directory

National Provider Directory
Tax ID family
Greenleaf Assisted Living Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609086040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8594",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570068594",
            "telephone_number": "605-692-1230",
            "fax_number": "605-692-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HILLVIEW RD",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622300",
            "telephone_number": "605-698-3500",
            "fax_number": "605-742-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMALES",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER AND OPERATIONS OFFICER",
        "authorized_official_telephone_number": "605-692-1230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "41332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisseton, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.