Eastern Star Home Of South Dakota Inc

LBN: Eastern Star Home Of South Dakota Inc
Eastern Star Home Of South Dakota Inc is an health care organization with primary practice located at 126 W 12Th Ave , Redfield SD 57469-1522. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Eastern Star Home Of South Dakota Inc can be contacted via phone (605) 472-0658, or through Rice, Mary A via phone (605) 472-0658.

Contact Information

Primary practice address
126 W 12Th Ave Redfield SD 57469-1522
Phone: (605) 472-0658
Fax: (605) 472-3590
Website:
Map and Directions
Authorized official contact:
Name: Rice, Mary A
Phone: (605) 472-0658

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10670 South Dakota

Profile Details

NPI number 1730238973
LBN Legal business name Eastern Star Home Of South Dakota Inc
DBA Doing business as
Authorized official Rice, Mary A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730238973 NPPES
South Dakota MEDICAID 0150120

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