Edgewood Siouxs Falls Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11073 Issued in SD

Legal business name

EDGEWOOD SIOUXS FALLS SENIOR LIVING LLC

Practice address

3401 W Ralph Rogers Rd
Sioux Falls, SD 57108-2650

Phone

(605) 367-9570

NPI assigned

Aug 23, 2011

Organization subpart

No

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

Authorized official

Name

Ron Whetter

Title

VP Budget and Finance

Phone

(701) 738-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1942580915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13336",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582083336",
            "telephone_number": "701-738-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W RALPH ROGERS RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082650",
            "telephone_number": "605-367-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD SIOUXS FALLS SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "WHETTER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "VP BUDGET AND FINANCE",
        "authorized_official_telephone_number": "701-738-2000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "11073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Sioux Falls, SD
• Providers in Sioux Falls, 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 Aug 23, 2011; 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.