Organization Active NPI

Smal Corp.

Doing business as Sandstone Manor Assisted Living

  • Assisted Living Facility
  • Spearfish, SD
National Provider Identifier
1639296478
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALSD11062 Issued in SD
Legal business name
SMAL CORP.
Doing business as
Sandstone Manor Assisted Living
Practice address
2010 Windmill Dr
Spearfish, SD 57783-9475
Phone
(605) 642-4910
Fax
(605) 642-4910
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Ms. Nancy A Barron
Title
Administrator
Phone
(605) 642-4910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALSD11062 SD Primary

Addresses

Primary practice location

2010 Windmill Dr
Spearfish, SD 57783-9475

Mailing address

2010 Windmill Dr
Spearfish, SD 57783-9475
Phone (605) 642-4910

Other identifiers 1

IdentifierTypeStateIssuer
9570810MedicaidSD

Other names 1

  • Sandstone Manor Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1639296478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 WINDMILL DR",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577839475",
            "telephone_number": "605-642-4910",
            "fax_number": "605-642-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WINDMILL DR",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577839475",
            "telephone_number": "605-642-4910",
            "fax_number": "605-642-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-642-4910",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "ALSD11062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9570810",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandstone Manor Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.