Kingsbury Memorial Manor, NPI 1942272349
Skilled Nursing Facility in Lake Preston, SD, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1942272349
NPI Entity Type Organization
Provider Name Kingsbury Memorial Manor
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 703 4th St Se, Lake Preston, SD, US
Provider Mailing Address 703 4th St Se, Lake Preston, SD, US, 572492116
Is Sole Proprietor? No
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Organization Official

Official Name Howie Groff
Official Position PRESIDENT
Phone 952-888-2923

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

License No. 10640
License State SD
Description (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.

Business Address

Kingsbury Memorial Manor
703 4th St Se

Lake Preston, SD, US

Phone: 605-847-4405

Mailing Address

Kingsbury Memorial Manor
703 4th St Se
Lake Preston, SD, US
ZIP 572492116

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
85067 SD WELLMARK 01
0151270 SD MEDICAID 05

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