TIESZEN MEMORIAL HOME INC NPI 1083693584

NPI Information

  • NPI: 1083693584
  • Provider Name: TIESZEN MEMORIAL HOME INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 43D0406882
  • Address: 312 E STATE ST
    MARION, SD
    ZIP 57043
  • Phone: (605) 648-3611

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NPI Details

TIESZEN MEMORIAL HOME INC is an assisted living facility in Marion, 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. TIESZEN MEMORIAL HOME INC NPI is 1083693584. The provider is registered as an organization entity type.

The provider's business location address is:

312 E STATE ST
MARION, SD
ZIP 57043-011
Phone: (605) 648-3611
Fax: (605) 648-3363

The provider's authorized official is Paul I Engbrecht .
The authorized official title is Ceo and has the following contact phone number (605) 648-3611.

The CLIA number assigned to this NPI record is 43D0406882 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 9/11/2025.

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
1314000000XSkilled Nursing Facility10647SOUTH DAKOTANo
2310400000XAssisted Living Facility41974SOUTH DAKOTAYes

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
10160650MEDICAIDSOUTH 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: 11/21/2025

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