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TENDER CARE ASSISTED LIVING NPI 1326366709


NPI Information

NPI: 1326366709
Provider Name: TENDER CARE ASSISTED LIVING
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 43D1065009

Address:
209 EVANS LN
SPEARFISH, SD
ZIP 57783
Phone: (605) 642-7963
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TENDER CARE ASSISTED LIVING is an assisted living facility in Spearfish, 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. TENDER CARE ASSISTED LIVING NPI is 1326366709. The provider is registered as an organization entity type.

The provider's business location address is:

209 EVANS LN
SPEARFISH, SD
ZIP 57783-130
Phone: (605) 642-7963
Fax: (605) 642-3580

The provider's authorized official is Aileen L Burr .
The authorized official title is Owner/administrator and has the following contact phone number (605) 642-7963.

The CLIA number assigned to this NPI record is 43D1065009 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2010 and was last updated on 5/11/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility10736SOUTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19570830MEDICAIDSOUTH 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: 4/28/2024

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