Roetell Senior Housing

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11043 Issued in SD

Legal business name

ROETELL SENIOR HOUSING

Practice address

108 S Smith St
Clark, SD 57225-1627

Phone

(605) 532-5430

Fax

(605) 532-5430

NPI assigned

Aug 4, 2016

Last updated

Aug 4, 2016By 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

Sandra M Sippel, RN

Title

Administror / RN

Phone

(605) 532-5430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1821542101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S SMITH ST",
            "city": "CLARK",
            "state": "SD",
            "postal_code": "572251627",
            "telephone_number": "605-532-5430",
            "fax_number": "605-532-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S SMITH ST",
            "city": "CLARK",
            "state": "SD",
            "postal_code": "572251627",
            "telephone_number": "605-532-5430",
            "fax_number": "605-532-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROETELL SENIOR HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "SIPPEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTROR / RN",
        "authorized_official_telephone_number": "605-532-5430",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "11043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hovdes Physical Therapy Clinic
• Hovdes Physical Therapy Clinic LLC
• Ann Larson, PT
• Paige Paulson, D.C
• Roetell Senior Housing
• Sanford Medical Center (Lewis Family Drug #57)
• Sanford Medical Center (Sanford Clinic Clark)
• Spieker Dental, Inc (Clark Family Dental Center)
• Craig Dean Spieker, D.D.S.
• Harvey Dean Spieker, D.D.S.

• Assisted Living Facility in Clark, SD
• Providers in Clark, 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 4, 2016; 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.