Provider Demographics
NPI:1063781763
Name:DELLS NURSING & REHAB CENTER
Entity type:Organization
Organization Name:DELLS NURSING & REHAB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:STROSCHEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-428-5478
Mailing Address - Street 1:1400 THRESHER DR
Mailing Address - Street 2:
Mailing Address - City:DELL RAPIDS
Mailing Address - State:SD
Mailing Address - Zip Code:57022-1049
Mailing Address - Country:US
Mailing Address - Phone:605-428-5478
Mailing Address - Fax:
Practice Address - Street 1:1400 THRESHER DR
Practice Address - Street 2:
Practice Address - City:DELL RAPIDS
Practice Address - State:SD
Practice Address - Zip Code:57022-1049
Practice Address - Country:US
Practice Address - Phone:605-428-5478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-26
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD10613314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0160400Medicaid
SD0160400Medicaid