NPIMap

Organization Active NPI

Tieszen Memorial Home Inc

  • Physical Therapy Clinic/Center
  • Marion, SD
National Provider Identifier
1891925806
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TIESZEN MEMORIAL HOME INC
Practice address
312 E State St
Marion, SD 57043-2011
Phone
(605) 648-3611
Fax
(605) 648-3363
NPI assigned
Jul 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Mr. Paul I Engbrecht
Title
Chief Executive Officer
Phone
(605) 648-3611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

312 E State St
Marion, SD 57043-2011

Mailing address

312 E State St
Marion, SD 57043-2011
Phone (605) 648-3611

Other identifiers 1

IdentifierTypeStateIssuer
0160650MedicaidSD

National Provider Directory

National Provider Directory
Tax ID family
Tieszen Mem Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

312 E State St
Marion, SD 57043
Phone (605) 648-3611

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1891925806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E STATE ST",
            "city": "MARION",
            "state": "SD",
            "postal_code": "570432011",
            "telephone_number": "605-648-3611",
            "fax_number": "605-648-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E STATE ST",
            "city": "MARION",
            "state": "SD",
            "postal_code": "570432011",
            "telephone_number": "605-648-3611",
            "fax_number": "605-648-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIESZEN MEMORIAL HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "ENGBRECHT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "605-648-3611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160650",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.