EASTERN STAR HOME OF SOUTH DAKOTA INC.
NPI 1063562437
Assisted Living Facility in Redfield, SD

Active since January 10, 2007CLIA 43D0684306 · Waiver
126 W 12TH AVE, REDFIELD, SD 57469(605) 472-0658(605) 472-3590 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastern Star Home Of South Dakota Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN STAR HOME OF SOUTH DAKOTA INC. (NPI 1063562437) is a healthcare organization registered as an assisted living facility in Redfield, South Dakota and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mary A Rice, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063562437
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEASTERN STAR HOME OF SOUTH DAKOTA INC.
Location Address126 W 12TH AVERedfield, SD 57469-1522
Mailing AddressPo Box 150Redfield, SD 57469-1522 · (605) 472-0658 · Fax (605) 472-3590
Fax(605) 472-3590
Organization SubpartNo
Authorized OfficialMary A RiceAdministrator · (605) 472-0658
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1063562437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in SD · 9570590
Definition

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.

126 W 12TH AVE, Redfield, SD 57469

Other Identifiers 1

Medicaid9570590SD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D0684306

Eastern Star Home Of South Dakota Inc · Redfield, SD
Active · expires Aug 31, 2026
CLIA Number43D0684306
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAmy Turner
Laboratory Phone(605) 472-2255
Laboratory LocationEastern Star Home Of South Dakota Inc126 West 12th Avenue PO Box 150, Redfield, SD 57469
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
126 W 12TH AVE
REDFIELD, SD 57469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Star Home Of South Dakota Inc.'s NPI number?

The NPI number for Eastern Star Home Of South Dakota Inc. is 1063562437. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Eastern Star Home Of South Dakota Inc. located?

Eastern Star Home Of South Dakota Inc. is located at 126 W 12th Ave, Redfield, SD 57469. The listed phone number is (605) 472-0658.

What is Eastern Star Home Of South Dakota Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Eastern Star Home Of South Dakota Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D0684306) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastern Star Home Of South Dakota Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.