CENTERVILLE CARE & REHAB CENTER INC (NPI# 1417445230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417445230 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CARE & REHAB CENTER INC |
| Practice Address |
500 Vermillion St Centerville SD 57014-2168 |
| Practice Telephone | 6055632251 |
| Mailing Telephone | 6055632251 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | CHAD STROSCHEIN (OWNER) |
| Authorized Official Telephone | 6056709855 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SD | Nursing & Custodial Care Facilities |
| Street Address |
500 VERMILLION ST |
| City | CENTERVILLE |
| State | SD |
| Zip Code | 57014-2168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881684637 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 500 Vermillion St, Centerville, SD 57014-2168 | 2005-10-24 |
| 1760042329 | Justine Katherine Sanderson | Occupational Therapy Assistant | 500 Vermillion St, Centerville, SD 57014-2168 | 2019-06-17 |
| 1942675152 | Courtney Blake | Occupational Therapist | 500 Vermillion St, Centerville, SD 57014-2168 | 2015-12-14 |
| 1205216082 | Jake Broscha | Physical Therapy Assistant | 500 Vermillion St, Centerville, SD 57014-2168 | 2015-06-05 |
| 1669868352 | Megan Walding | Physical Therapist | 500 Vermillion St, Centerville, SD 57014-2168 | 2015-04-09 |
| 1154743516 | Kalli Price | Occupational Therapy Assistant | 500 Vermillion St, Centerville, SD 57014-2168 | 2014-01-20 |
| 1518300235 | Centerville Development Corporation | Skilled Nursing Facility | 500 Vermillion St, Centerville, SD 57014-2168 | 2013-04-11 |
| 1669643706 | Michelle Lea Nelson | Physical Medicine & Rehabilitation | 500 Vermillion St, Centerville, SD 57014-2168 | 2008-03-17 |
| 1003956202 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 500 Vermillion St, Centerville, SD 57014 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081743 | Lewis Family Drug, LLC | Pharmacy | 513 Broadway St, Centerville, SD 57014 | 2017-05-31 |
| 1518062629 | Pioneer Memorial Hospital and Health Services | Pharmacy | 513 Broadway, Centerville, SD 57014 | 2006-09-13 |
| 1508969569 | Cody D Carstensen | Pharmacist | 512 Broadway, Centerville, SD 57014 | 2006-09-06 |
| 1528017662 | Pioneer Memorial Hospital &health Services | Clinic/Center | 512 Broadway, Centerville, SD 57014-0070 | 2006-05-08 |
| 1417284928 | Candace L Verdoorn | Nurse Practitioner | 512 Broadway, Centerville, SD 57014-0070 | 2009-11-05 |
| 1043313950 | Lavonne Isaak | Pharmacy Technician | 512 Broadway, Centerville, SD 57014-0070 | 2006-09-06 |
| 1134129836 | Centerville Community Ambulance Service, Inc. | Ambulance | 800 Main Street, Box 181, Centerville, SD 57014-0181 | 2005-07-26 |
| 1922023944 | Justin Delzer | Chiropractor | 540 Broadway, Centerville, SD 57014-0271 | 2006-07-12 |
| 1407181001 | Centerville School District 60-01 | Local Education Agency (LEA) | 610 Lincoln St, Centerville, SD 57014-2040 | 2009-10-15 |
| 1720605397 | Bruce Adam Bennett | Registered Nurse | 610 Lincoln St, Centerville, SD 57014-2040 | 2020-06-30 |
| Find all providers in zip 57014 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1467813030 | Chi Living Communities | Skilled Nursing Facility | 1203 Schervier Ct, Centerville, OH 45458-2778 | 2016-03-10 |
| 1992977516 | Otterbein Clearcreek, LLC | Skilled Nursing Facility | 9320 Avalon Circle, Centerville, OH 45458 | 2008-03-25 |
| 1326074402 | Centerville Medical Investors, LLC | Skilled Nursing Facility | 112 Old Dickson Road, Centerville, TN 37033 | 2006-06-23 |
| 1801836655 | Heartland of Centerville Oh LLC | Skilled Nursing Facility | 1001 E Alex Bell Rd, Centerville, OH 45459-2637 | 2006-06-08 |
| 1851361406 | Care Initiatives | Skilled Nursing Facility | 1208 E Cross St, Centerville, IA 52544-3501 | 2006-01-25 |
| 1942299185 | Cape Regency Ma Snf LLC | Skilled Nursing Facility | 120 South Main Street, Centerville, MA 02632 | 2005-10-20 |
| 1295722015 | Centerville Healthcare Center | Skilled Nursing Facility | 103 Teakwood, Centerville, TX 75833-2497 | 2005-10-06 |
| 1457752297 | Golden Age Properties LLC | Skilled Nursing Facility | 1915 S 18th St, Centerville, IA 52544-3102 | 2014-09-11 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 57014 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.