NPIMap

Organization Active NPI

Weskota Manor, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Wessington Springs, SD
National Provider Identifier
1811065618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
10707 Issued in SD
Legal business name
WESKOTA MANOR, INC.
Practice address
608 1St St NE
Wessington Springs, SD 57382-2134
Phone
(605) 539-1621
Fax
(605) 539-4502
NPI assigned
Dec 1, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Kayleen R Lee
Title
Administrator
Phone
(605) 539-1621

Owners & managing parties with NPI records 21

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 21

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Weskota Manor IncCCN 435133
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 6, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4031.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D0682904Weskota Manor608 First Street NE, Wessington Springs, SD 57382Certificate of waiverAug 31, 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Skilled nursing facility certification: CCN 435133

Legal name
WESKOTA MANOR INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 6, 2017
Last certification
Aug 14, 2024
Beds
40
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 8, 1995 in SD
Enrollment address
608 1St St NE
Wessington Springs, SD 57382-2134
Nursing home name
WESKOTA MANOR INC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151022001471 SD Part A Provider - Skilled Nursing Facility 2567771199 Practice locations: Wessington Springs, SD

All disclosed owners & managing parties 12

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cory Mohling Individual Corporate DirectorBoard of Directors Member Mar 1, 2013
David Bender Individual Corporate DirectorBoard of Directors Member Aug 1, 2024
Nikki J Voneye Individual Operational/Managerial Control Dec 1, 2018
Adp of the SNF Jan 1, 2019
Stephanie Jungemann Individual Corporate DirectorBoard of Directors Member Mar 1, 2015
Thomas M Dean Individual Corporate DirectorBoard of Directors Member Mar 1, 2023
James Deines Individual Corporate OfficerBoard of Directors Vice-President Mar 1, 2007
Brian Bergeleen Individual Corporate OfficerBoard of Directors Secretary/Treas Mar 1, 2008
Lance S Lim Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Organization, Sioux Falls, SD Corporation, Non-profit Adp of the SNF Apr 22, 2026
Darlene Bergeleen Individual Corporate DirectorBoard of Directors Member Mar 1, 2020
Horizon Health Care Inc Organization, Howard, SD Corporation, Medical provider/supplier, Non-profit Operational/Managerial Control Jan 1, 2024
Adp of the SNF Apr 22, 2026
Gail Arnott Individual Corporate OfficerBoard of Directors President Mar 1, 2006

National Provider Directory

National Provider Directory

Locations

608 1st St NE
Wessington Springs, SD 57382
Phone (605) 539-1621

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 10707 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

608 1St St NE
Wessington Springs, SD 57382-2134

Mailing address

608 1St St NE
Wessington Springs, SD 57382-2134
Phone (605) 539-1621

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0160300MedicaidSD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811065618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 1ST ST NE",
            "city": "WESSINGTON SPRINGS",
            "state": "SD",
            "postal_code": "573822134",
            "telephone_number": "605-539-1621",
            "fax_number": "605-539-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 1ST ST NE",
            "city": "WESSINGTON SPRINGS",
            "state": "SD",
            "postal_code": "573822134",
            "telephone_number": "605-539-1621",
            "fax_number": "605-539-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESKOTA MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KAYLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-539-1621",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "SD",
            "license": "10707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160300",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wessington Springs, SD

Sources for this page

Verify at the official NPI Registry.