GARRETSON HEALTHCARE, LLC (NPI# 1922107887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922107887 |
| Entity Type | Organization |
| Organization Name | GARRETSON HEALTHCARE, LLC |
| Other Organization Name | PALISADE HEALTHCARE COMMUNITY |
| Practice Address |
920 4th St Garretson SD 57030-2006 |
| Practice Telephone | 6055943466 |
| Practice Fax Number | 6055946661 |
| Mailing Telephone | 6055943466 |
| Mailing Fax Number | 6055946661 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2013-03-18 |
| Authorized Official Name | MEREDITH FISHER (ADMINISTRATOR) |
| Authorized Official Telephone | 6055943466 |
| Authorized Official Credential | RN, LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 58297 | SD | Nursing & Custodial Care Facilities |
| N | 314000000X | Skilled Nursing Facility | 10623 | SD | Nursing & Custodial Care Facilities |
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 10623 | SD | Nursing & Custodial Care Facilities |
| Y | 376G00000X | Nursing Home Administrator | 10623 SKILLED NU | SD | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9572780 | 05 | |
| SD | 0150370 | 05 |
| Other Name | Type Code |
|---|---|
| Palisade Healthcare Community | Doing Business As Name - Organization |
| Street Address |
920 4TH ST |
| City | GARRETSON |
| State | SD |
| Zip Code | 57030-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084867 | Mercades M Genzler | Physical Therapy Assistant | 920 4th St, Garretson, SD 57030-2006 | 2019-07-12 |
| 1083186852 | Empres At Garretson, LLC | Skilled Nursing Facility | 920 4th St, Garretson, SD 57030-2006 | 2018-12-18 |
| 1467922807 | Harlie Breck | Prevention Professional | 920 4th St, Garretson, SD 57030-5703 | 2018-11-28 |
| 1265900047 | Cody Mather | Occupational Therapist | 920 4th St, Garretson, SD 57030-2006 | 2018-11-09 |
| 1508394248 | Boni Mae Slagerman | Physical Therapist | 920 4th St, Garretson, SD 57030-2006 | 2017-05-25 |
| 1255730065 | Jenna Metzger | Physical Therapist | 920 4th St, Garretson, SD 57030-2006 | 2014-08-18 |
| 1922407899 | Alyssa Lund | Physical Therapy Assistant | 920 4th St, Garretson, SD 57030-2006 | 2014-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780915611 | Nicholas Michael Schotzko | Chiropractor | 632 North Main, Garretson, SD 57030 | 2010-01-15 |
| 1780911354 | Palisades Chiropractic | Chiropractor | 632 N. Main Ave, Garretson, SD 57030 | 2009-11-03 |
| 1568538072 | Garretson Community Ambulance Corporation | Ambulance | 638 N Main Ave, Garretson, SD 57030 | 2006-11-27 |
| 1174671242 | Avera Mckennan | Family Medicine | 980 4th Street, Garretson, SD 57030-0250 | 2007-01-08 |
| 1558447565 | Garretson School District 49-4 | Local Education Agency (LEA) | 505 2nd St, Garretson, SD 57030-0381 | 2006-10-31 |
| 1710434337 | Amy Thompson | Speech-Language Pathologist | 505 2nd St, Garretson, SD 57030-2146 | 2016-09-01 |
| 1255451548 | Amber Coburn | Physical Therapist | 25353 485th Ave, Garretson, SD 57030-6115 | 2007-03-30 |
| 1003237140 | Nicholas M Schotzko | Chiropractor | 632 N Main Ave, Garretson, SD 57030-8801 | 2013-12-16 |
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833494 | Joshua Jacob Blom | Nursing Home Administrator | 613 Walnut St, Yankton, SD 57078-3645 | 2020-05-20 |
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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.