Tieszen Memorial Home Inc

LBN: Tieszen Memorial Home Inc
Tieszen Memorial Home Inc is an health care organization with primary practice located at 312 E State St , Marion SD 57043-2011. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Tieszen Memorial Home Inc can be contacted via phone (605) 648-3611, or through Engbrecht, Paul I via phone (605) 648-3611.

Contact Information

Primary practice address
312 E State St Marion SD 57043-2011
Fax: (605) 648-3363
Website:
Authorized official contact:
Name: Engbrecht, Paul I

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 41974 South Dakota
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10647 South Dakota

Profile Details

NPI number 1083693584
LBN Legal business name Tieszen Memorial Home Inc
DBA Doing business as
Authorized official Engbrecht, Paul I
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083693584 NPPES
South Dakota MEDICAID 0160650

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