Organization Active NPI

Ramona Assisted Living, LLC

Doing business as Ramona Assisted Living

  • Assisted Living Facility
  • Ramona, SD
National Provider Identifier
1841241684
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RAMONA ASSISTED LIVING, LLC
Doing business as
Ramona Assisted Living
Practice address
210 E 3Rd St
Ramona, SD 57054
Phone
(605) 482-8221
Fax
(605) 482-8319
NPI assigned
May 15, 2006
Last updated
Jun 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 41085 SD
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

210 E 3Rd St
Ramona, SD 57054

Mailing address

PO Box 1202
Sioux Falls, SD 57101
Phone (605) 338-8896

Other identifiers 1

IdentifierTypeStateIssuer
9572452MedicaidSD

Other names 1

  • Ramona Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1841241684",
    "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": "210 E 3RD ST",
            "city": "RAMONA",
            "state": "SD",
            "postal_code": "57054",
            "telephone_number": "605-482-8221",
            "fax_number": "605-482-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMONA 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": "41085",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9572452",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ramona Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ramona, SD

Sources for this page

  • 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.