Flandreau Independent Living, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

FLANDREAU INDEPENDENT LIVING, LLC

Practice address

610 E Pipestone Ave
Flandreau, SD 57028-1339

Phone

(605) 997-2481

Fax

(605) 573-2301

NPI assigned

Dec 18, 2018

Organization subpart

Yes

Parent organization

EMPRES SOUTH DAKOTA HEALTHCARE, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael J. Miller

Title

Cfo and Assistant Manager

Phone

(360) 892-6628

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1861964645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626736",
            "telephone_number": "360-892-6628",
            "fax_number": "360-882-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E PIPESTONE AVE",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281339",
            "telephone_number": "605-997-2481",
            "fax_number": "605-573-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLANDREAU INDEPENDENT LIVING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES SOUTH DAKOTA HEALTHCARE, LLC",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO AND ASSISTANT MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Flandreau, SD
• Nursing Facility/Intermediate Care Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.