Active NPI
City of Estelline
Doing business as Estelline Nursing and Care Center
- Skilled Nursing Facility
- Estelline, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 10617
- Legal business name
- CITY OF ESTELLINE
- Doing business as
- Estelline Nursing and Care Center
- Practice address
- 205 Fjerestad Ave E
Estelline, SD 57234-2103 - Phone
- (605) 873-2278
- Fax
- (605) 873-2989
- NPI assigned
- Oct 12, 2005
- Last updated
- Jun 13, 2008
- Organization subpart
- Yes
- Parent organization
- CITY OF ESTELLINE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael P Ward
- Title
- Administrator
- Phone
- (605) 873-2278
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 11067 | SD | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 10617 | SD | |
| Skilled Nursing Facility | 314000000X | 10617 | SD | Primary |
Addresses
Primary practice location
205 Fjerestad Ave E
Estelline, SD 57234-2103
Mailing address
PO Box 130
Estelline, SD 57234-0130
Phone (605) 873-2278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0151140 | Medicaid | SD |
Other names 1
- Estelline Nursing and Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100219000384 | SD | Part A Provider - Skilled Nursing Facility | 5395637771 | Practice locations: Estelline, SD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1649268608. Details of each certification follow.
Skilled nursing facility certification: CCN 435099
- Legal name
- CITY OF ESTELLINE
- Doing business as
- ESTELLINE NURSING AND CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1996
- Last certification
- Apr 3, 2025
- Beds
- 60
- Ownership / control type
- City
- Organization structure
- Government
- Incorporated
- Jan 1, 1882 in SD
- Enrollment address
- 205 Fjerestad Ave E
Estelline, SD 57234-2103 - Nursing home name
- ESTELLINE NURSING AND CARE CENTER
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Estelline Nursing and Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - City
- Certified
- May 1, 1996
- Medicare certification status
- Active
- Certified beds
- 60
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Steven Feeney MD
- Part of
- Steven Feeney MD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Estelline, SD
- NPI 1568835452
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Daniel Cecil | Adp of the SNF | Jan 1, 2021 | |
| City of Estelline | Operational/Managerial Control | Dec 3, 2024 | |
| Jason Hanssen | Corporate Officer | Nov 4, 2024 | |
| Operational/Managerial Control | Nov 4, 2024 | ||
| Adp of the SNF | Nov 4, 2024 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Estelline Ambulance Service
- Ambulance
- Estelline, SD
- NPI 1528213329
Operational/Managerial Control
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Brookings, SD
- NPI 1700844131
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1649268608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "ESTELLINE",
"state": "SD",
"postal_code": "572340130",
"telephone_number": "605-873-2278",
"fax_number": "605-873-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 FJERESTAD AVE E",
"city": "ESTELLINE",
"state": "SD",
"postal_code": "572342103",
"telephone_number": "605-873-2278",
"fax_number": "605-873-2989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF ESTELLINE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CITY OF ESTELLINE",
"enumeration_date": "2005-10-12",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "605-873-2278"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "SD",
"license": "11067",
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "SD",
"license": "10617",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "SD",
"license": "10617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0151140",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Estelline Nursing and Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Estelline, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.