YANKTON AW


Address: 2903 Douglas Ave, Yankton, SD 57078-4888
Phone: 6056682800

YANKTON AW (NPI# 1588277099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588277099
Entity Type Organization
Organization Name YANKTON AW
Practice Address 2903 Douglas Ave
Yankton
SD 57078-4888
Mailing Address 300 E 6t Hst
Yankton
SC 57078-5123
Practice Telephone 6056682800
Mailing Telephone 6056890439
Mailing Fax Number 6056892035
Enumeration Date 2020-08-25
Last Update Date 2020-08-31
Authorized Official Name LETHIA MARIENAU (CFO)
Authorized Official Telephone 6056890439
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Angelhaus Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063034015 Yankton Aw Assisted Living Facility 2905 Douglas Ave, Yankton, SD 57078-5123 2020-05-13

Office Location

Street Address 2903 DOUGLAS AVE
City YANKTON
State SD
Zip Code 57078-4888

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033719661 Jime Lynne Rivera Psychiatry & Neurology 708 E 21st Street, Yankton, SD 57078 2020-11-01
1043617210 Kenneth Tomek Dietitian, Registered 2100 Broadway St, Yankton, SD 57078 2014-12-03
1932530276 Jacqueline Ann Kelley Nurse Practitioner 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 2013-12-12
1124363130 Susan Kay Taecker Occupational Therapist 1502 Jo Ln, Yankton, SD 57078 2012-12-02
1295865178 Dr Jon C Baumann Dds PC Dentist 809 Belfast Street, Yankton, SD 57078 2007-03-07
1306989090 Gregory Scott Erickson Internal Medicine 501 Summit, Yankton, SD 57078 2007-02-14
1104976356 Pine Lane Estates LLC Assisted Living Facility 2905 Douglas Ave, Yankton, SD 57078 2007-01-11
1518029917 Teresa M Henrickson Counselor 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 2006-12-14
1396805016 Joseph G Blackinton Psychologist Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 2006-12-11
1942383468 Deborah Jean Kachena Social Worker 610 W 23rd Street, Yankton, SD 57078 2006-10-21
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104976356 Pine Lane Estates LLC Assisted Living Facility 2905 Douglas Ave, Yankton, SD 57078 2007-01-11
1063034015 Yankton Aw Assisted Living Facility 2905 Douglas Ave, Yankton, SD 57078-5123 2020-05-13
1255662763 Autumn Winds LLC Assisted Living Facility 300 E 6th St, Yankton, SD 57078-4000 2010-01-22
1235351719 Prairie Homes Assisted Living LLC Assisted Living Facility 300 E 6th St, Yankton, SD 57078-4000 2007-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760094122 Mitchell Retirement Assisted Living Facility 2100 N Wisconsin St, Mitchell, SD 57301-1261 2020-08-18
1346897352 Huron Sd Assisted Living Facility LLC Assisted Living Facility 1251 Arizona Ave Sw, Huron, SD 57350-3015 2019-08-23
1972076024 Edgewood Rapid City LLC Assisted Living Facility 4001 Derby Lane, Rapid City, SD 57701 2019-01-10
1447722210 Sturgis Assisted Living, LLC Assisted Living Facility 2065 Moose Dr, Sturgis, SD 57785-4003 2018-12-18
1326516501 Edgewood Watertown Mc 2 LLC Assisted Living Facility 225 14 Ave Ne, Watertown, SD 57201 2018-11-06
1306336656 Will Care Services, LLC Assisted Living Facility 4709 E 6th St, Sioux Falls, SD 57110-5851 2018-05-12
1538656400 Viborg Retirement Living, Inc Assisted Living Facility 211 Peterson Drive, Viborg, SD 57070 2018-04-17
1770004996 Edgewood Mitchell LLC Assisted Living Facility 501 East Spruce Street, Mitchell, SD 57301 2017-06-28
1760835052 Rclalc,llc Assisted Living Facility 409 E Fairlane Dr, Rapid City, SD 57701-7207 2016-07-21
1730554577 Edgewood Pierre LLC Assisted Living Facility 1950 E 4th St, Pierre, SD 57501-4201 2015-12-04
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Competitor

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City YANKTON
Zip Code 57078

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Dataset Information

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.

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