Active NPI
Meadows on Sycamore Inc
- Assisted Living Facility
- Sioux Falls, SD
National Provider Identifier
1740698513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MEADOWS ON SYCAMORE INC
- Practice address
- 130 N Sycamore Ave
Sioux Falls, SD 57110-1230 - Phone
- (605) 332-0938
- Fax
- (605) 330-4052
- NPI assigned
- Jul 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa A Schaefer
- Title
- Administrator
- Phone
- (605) 332-0938
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
130 N Sycamore Ave
Sioux Falls, SD 57110-1230
Mailing address
130 N Sycamore Ave
Sioux Falls, SD 57110-1230
Phone (605) 332-0938
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D1030015 | Meadows on Sycamore | Certificate of waiver | Aug 29, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406160000000",
"number": "1740698513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 N SYCAMORE AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571101230",
"telephone_number": "605-332-0938",
"fax_number": "605-330-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N SYCAMORE AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571101230",
"telephone_number": "605-332-0938",
"fax_number": "605-330-4052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOWS ON SYCAMORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "605-332-0938"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.