Pierre Senior Living I

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PIERRE SENIOR LIVING I

Practice address

615 S Jefferson Ave
Pierre, SD 57501-4118

Phone

(605) 244-5261

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Robert Bagdon

Title

Coo

Phone

(724) 961-6061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1972270874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MONTANA AVE",
            "city": "LEAD",
            "state": "SD",
            "postal_code": "577541051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S JEFFERSON AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575014118",
            "telephone_number": "605-244-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE SENIOR LIVING I",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "BAGDON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "724-961-6061"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pierre Family Dental Prof LLC
• Pierre Indian Learning Center
• Pierre Psychology
• Pierre School District
• Pierre SD Skilled Nursing Facility LLC
• Pierre Senior Living II
• Darrell W Plumage, MD
• Cindi J Pochop, MD
• Nicole Marie Poppinga, M.D.
• Cassidy Potter

• Adult Care Home Facility in Pierre, SD
• Providers in Pierre, SD by specialty
• Adult Care Home Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.