SALEM ELDERLY LIVING LLC NPI 1730347097

NPI Information

NPI: 1730347097
Provider Name: SALEM ELDERLY LIVING LLC

Other Name: LEISURE LIVING SALEM

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 43D2199802

Address:
600 S HILL ST
SALEM, SD
ZIP 57058
Phone: (605) 425-2858
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SALEM ELDERLY LIVING LLC is an assisted living facility in Salem, SD. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SALEM ELDERLY LIVING LLC NPI is 1730347097. The provider is registered as an organization entity type.
The provider Other Name Is Leisure Living Salem.

The provider's business location address is:

600 S HILL ST
SALEM, SD
ZIP 57058-707
Phone: (605) 425-2858

The provider's authorized official is Terry Sabers .
The authorized official title is Llc Member and has the following contact phone number (605) 770-2500.

The CLIA number assigned to this NPI record is 43D2199802 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2008 and was last updated on 5/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		42874	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9570610	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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