Castlewood Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CASTLEWOOD ASSISTED LIVING, LLC

Doing business as

Castlewood Assisted Living

Practice address

108 W Main St
Castlewood, SD 57223

Phone

(605) 793-2234

Fax

(605) 793-2171

NPI assigned

May 15, 2006

Last updated

Jun 24, 2015By 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

Brad Halverson

Title

Member-President

Phone

(605) 940-4701

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Castlewood Assisted Living Doing business as

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1831140680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1202",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57101",
            "telephone_number": "605-338-8896",
            "fax_number": "605-575-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W MAIN ST",
            "city": "CASTLEWOOD",
            "state": "SD",
            "postal_code": "57223",
            "telephone_number": "605-793-2234",
            "fax_number": "605-793-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLEWOOD ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "HALVERSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "MEMBER-PRESIDENT",
        "authorized_official_telephone_number": "605-940-4701"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "40126",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9572422",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castlewood Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Castlewood Ambulance District
• Castlewood School District 28 1
• Prairie Lakes Health Care System Inc (Sanford Health Castlewood Clinic)
• Linda K Shamblin, PTA

• Assisted Living Facility in Castlewood, SD
• Providers in Castlewood, 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 Jun 24, 2015; 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.