Benedictine Living Communities - Bismarck Housing, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BENEDICTINE LIVING COMMUNITIES - BISMARCK HOUSING, LLC

Practice address

4580 Coleman St
Bismarck, ND 58503-0431

Phone

(701) 751-5100

NPI assigned

Feb 16, 2017

Last updated

Feb 16, 2017By 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

Mr. Tyler Hoemberg

Title

Administrator/Ceo

Phone

(701) 751-5100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1780123208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 COLEMAN ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 COLEMAN ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030431",
            "telephone_number": "701-751-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDICTINE LIVING COMMUNITIES - BISMARCK HOUSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "HOEMBERG",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "701-751-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine Belling
• Shanon S Bencker, OD
• Ezeekiel Bender
• Sandra Bender
• Casandra Bendish
• Benedictine Living Communities-Bismarck, Inc. (St. Gabriel's Community)
• Brooke Elizabeth Benson, RBT
• Ciara Krystal Benson
• Nelson B Benson, CRNA
• Jessica Anne Bentson, DPM

• Assisted Living Facility in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Assisted Living Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.