EDGEWOOD GREENLEAF SIOUX FALLS LLC (NPI# 1992093389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992093389 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD GREENLEAF SIOUX FALLS LLC |
| Practice Address |
3409 E. 5th St. Sioux Falls SD 57103-1235 |
| Practice Telephone | 6052750074 |
| Practice Fax Number | 6052750076 |
| Mailing Telephone | 6052750074 |
| Mailing Fax Number | 6052750076 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |
| Authorized Official Name | MR. RON WHETTER (VP OF BUDGE/FINANCE) |
| Authorized Official Telephone | 7017382000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 47882 | SD | Nursing & Custodial Care Facilities |
| Street Address |
3409 E. 5TH ST. |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57103-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072858 | Tasha Leigh Vanrooyen | Massage Therapist | 3400 Southeastern Avenue, Sioux Falls, SD 57103 | 2018-11-20 |
| 1407377328 | Minnehaha Health Supplies | Durable Medical Equipment & Medical Supplies | Sioux Falls - Cna Building, 101 South Reid Street, Suite 307, Sioux Falls, SD 57103 | 2017-06-30 |
| 1811378771 | African Community Center of Sioux Falls | Non-emergency Medical Transport (VAN) | 1515 East 10th Street, Sioux Falls, SD 57103 | 2015-06-16 |
| 1033596861 | Raichatou Ann Jackson | Clinical Nurse Specialist | 4308 Est 9th St, Sioux Falls, SD 57103 | 2015-04-30 |
| 1538551668 | Wendy Jo Kranzler | Occupational Therapist | 4500 Prince of Peace, Sioux Falls, SD 57103 | 2015-02-26 |
| 1932477205 | Alpha Sigma Health Group, Inc. | Home Health | 2804 East 26th Street, Lower Level, Sioux Falls, SD 57103 | 2011-12-01 |
| 1629207089 | Andrea R Tuley | Registered Nurse | 1312 E. 11th Street, Sioux Falls, SD 57103 | 2009-07-07 |
| 1891920054 | Great Plains Chiropractic & Wellness LLC | Chiropractor | 3233 S. Sycamore Ave., Sioux Falls, SD 57103 | 2009-05-18 |
| 1841430162 | Martin Frank Petereit | Radiology | 1600 E. Cedar Lane, Retired Radiologist, Sioux Falls, SD 57103 | 2009-02-26 |
| 1255518619 | Mobile Sonographers Inc | Spec/Tech, Cardiovascular | 2307 E Harriet Lea St, Sioux Falls, SD 57103 | 2008-01-29 |
| Find all providers in zip 57103 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306336656 | Will Care Services, LLC | Assisted Living Facility | 4709 E 6th St, Sioux Falls, SD 57110-5851 | 2018-05-12 |
| 1629405451 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 4312 W Creekside Cir, Sioux Falls, SD 57106-5279 | 2013-10-11 |
| 1609202712 | Edgewood Prairie Crossings Sioux Falls, LLC | Assisted Living Facility | 1800 S Dorothy Ave, Sioux Falls, SD 57106-3826 | 2013-09-20 |
| 1942580915 | Edgewood Siouxs Falls Senior Living LLC | Assisted Living Facility | 3401 W Ralph Rogers Rd, Sioux Falls, SD 57108-2650 | 2011-08-23 |
| 1891921565 | Good Samaritan-sanford Community Health Services | Assisted Living Facility | 1806 S Dorothy Ave, Sioux Falls, SD 57106-3826 | 2009-06-08 |
| 1053556068 | Avera Mckennan | Assisted Living Facility | 4504 S Prince of Peace Pl, Sioux Falls, SD 57103-5865 | 2008-12-04 |
| 1093997033 | Fruitcakes LLC | Assisted Living Facility | 130 N Sycamore Ave, Sioux Falls, SD 57110-1230 | 2007-12-01 |
| 1750591194 | Greenleaf Assisted Living, Inc. | Assisted Living Facility | 3409 E 5th St, Sioux Falls, SD 57103-1235 | 2007-05-23 |
| 1447293220 | Intergenerational Living & Health Care, Inc. | Assisted Living Facility | 4000 S Westport Ave, Sioux Falls, SD 57106-2300 | 2006-06-13 |
| 1255374070 | American Baptist Homes of The Midwest | Assisted Living Facility | 3408 W Ralph Rogers Road, Suite 100, Sioux Falls, SD 57108 | 2006-06-13 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57103 |
Please comment or provide details below to improve the information on EDGEWOOD GREENLEAF SIOUX FALLS LLC.
| 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.