Mitchell Retirement

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MITCHELL RETIREMENT

Doing business as

Countryside Living

Practice address

2100 N Wisconsin St
Mitchell, SD 57301-1261

Phone

(605) 996-1991

Fax

(605) 996-5293

NPI assigned

Aug 18, 2020

Last updated

Aug 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Veronnica J Smith

Title

Administrator

Phone

(605) 996-1991

Specialties & licenses 1

Addresses

Other names 1

• Countryside Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1760094122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N WISCONSIN ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011261",
            "telephone_number": "605-996-1991",
            "fax_number": "605-996-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N WISCONSIN ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011261",
            "telephone_number": "605-996-1991",
            "fax_number": "605-996-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL RETIREMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VERONNICA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-996-1991"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitchell Clinic LTD
• Mitchell Dental Clinic LLC (The Dental Clinic)
• Mitchell Diagnostic
• Mitchell Family Practice, PC
• Mitchell Healthcare, LLC (Firesteel Healthcare Center)
• Mitchell School District
• Mitchell Surgical Prof. L.L.C.
• Joshua Mark Moody, PT
• Ty Alexander Moody, MD
• Jasmine Yvonne Morgan, CSW

• Assisted Living Facility in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Assisted Living Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.

Verify at the official NPI Registry.