Woonsocket Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10714 Issued in SD

Legal business name

WOONSOCKET HEALTHCARE, LLC

Doing business as

Prairie View Healthcare Community

Practice address

401 S 1St Ave
Woonsocket, SD 57385

Phone

(605) 796-4467

Fax

(605) 796-4497

NPI assigned

Sep 9, 2005

Last updated

Feb 17, 2017By 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

Mr. Thomas Boerboom

Title

President

Phone

(952) 873-7977

Specialties & licenses 1

Addresses

Other names 1

• Prairie View Healthcare Community Doing business as

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1922092493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 VALLEY VIEW RD",
            "address_2": "STE 201",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241870",
            "telephone_number": "952-873-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 1ST AVE",
            "city": "WOONSOCKET",
            "state": "SD",
            "postal_code": "57385",
            "telephone_number": "605-796-4467",
            "fax_number": "605-796-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOONSOCKET HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "BOERBOOM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-873-7977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "10714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie View Healthcare Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Horizon Health Care Inc (Woonsocket Community Health Center)
• Donna M. Linke, CNP
• Prairie View SNF Operations, LLC (Prairie View Healthcare Center)
• Katlyn Elizabeth Rostyne
• Sanborn County Ambulance
• Woonsocket School District 55-4

• Skilled Nursing Facility in Woonsocket, SD
• Providers in Woonsocket, SD by specialty
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.