Armour SD Skilled Nursing Facility LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ARMOUR SD SKILLED NURSING FACILITY LLC

Practice address

106 Braddock Ave
Armour, SD 57313-2157

Phone

(605) 724-2911

Fax

(605) 724-2661

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Menachem Shabat

Title

Coo/Principal

Phone

(847) 679-9797

Specialties & licenses 1

Addresses

Other names 1

• Avantara Armour Doing business as

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1760047252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762951",
            "telephone_number": "847-679-9797",
            "fax_number": "847-679-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BRADDOCK AVE",
            "city": "ARMOUR",
            "state": "SD",
            "postal_code": "573132157",
            "telephone_number": "605-724-2911",
            "fax_number": "605-724-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMOUR SD SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "SHABAT",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "COO/PRINCIPAL",
        "authorized_official_telephone_number": "847-679-9797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avantara Armour",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Armour, SD
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.