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WAKONDA SUPERVISED LIVING INC
NPI 1093924490
Assisted Living Facility in Wakonda, SD

Active since May 22, 2007
515 OHIO ST, WAKONDA, SD 57073(605) 267-2081 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wakonda Supervised Living Inc NPPES

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

WAKONDA SUPERVISED LIVING INC (NPI 1093924490) is a healthcare organization registered as an assisted living facility in Wakonda, South Dakota and active in the NPI registry since May 2007. The organization lists Becky Mcmanus, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093924490
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWAKONDA SUPERVISED LIVING INC
Location Address515 OHIO STWakonda, SD 57073-2013
Mailing Address515 Ohio StWakonda, SD 57073-2013 · (605) 267-2081
Phone(605) 267-2081
Organization SubpartNo
Authorized OfficialBecky McmanusAdministrator · (605) 267-2081
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093924490 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 · 11048
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.
515 OHIO ST, Wakonda, SD 57073
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Other Identifiers 1

Medicaid9572190SD

Other Providers at the Same Location NPPES 2

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

WAKONDA HERITAGE MANOR.
Skilled Nursing Facility
515 OHIO ST
WAKONDA, SD 57073
Clay County (605) 267-2081
HEATHER NEY PTA
Physical Therapy Assistant
515 OHIO ST
WAKONDA, SD 57073
Clay County (605) 267-2081

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 Wakonda Supervised Living Inc's NPI number?

The NPI number for Wakonda Supervised Living Inc is 1093924490. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Wakonda Supervised Living Inc located?

Wakonda Supervised Living Inc is located at 515 Ohio St, Wakonda, SD 57073. The listed phone number is (605) 267-2081.

What is Wakonda Supervised Living Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Wakonda Supervised Living Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.