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SHERIDAN MEMORIAL HOME NPI 1144636051


NPI Information

NPI: 1144636051
Provider Name: SHERIDAN MEMORIAL HOME

Former Legal Business Name: THERESA JORGENSON

Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 35D1004544

Address:
610 SOUTH MAIN
MCCLUSKY, ND
ZIP 58463
Phone: (701) 363-2203
Get Directions

SHERIDAN MEMORIAL HOME is a nursing care in Mcclusky, ND. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. SHERIDAN MEMORIAL HOME NPI is 1144636051. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Theresa Jorgenson.

The provider's business location address is:

610 SOUTH MAIN
MCCLUSKY, ND
ZIP 58463-350
Phone: (701) 363-2203
Fax: (701) 363-2718

The provider's authorized official is Theresa Ann Jorgenson .
The authorized official title is Administrator and has the following contact phone number (701) 363-2203.

The CLIA number assigned to this NPI record is 35D1004544 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2014 and was last updated on 7/11/2014.


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
1251J00000XNursing CareYes

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: 5/5/2024

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