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SHERIDAN MEMORIAL HOME
NPI 1144636051
Nursing Care in Mcclusky, ND

Active since July 11, 2014
610 SOUTH MAIN, MCCLUSKY, ND 58463(701) 363-2203(701) 363-2718 Get Directions Write a Review

NPPES record last updated: July 11, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Sheridan Memorial Home NPPES

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

SHERIDAN MEMORIAL HOME (NPI 1144636051), doing business as Theresa Jorgenson, is a healthcare organization registered as a nursing care in Mcclusky, North Dakota and active in the NPI registry since July 2014. The organization lists Theresa Ann Jorgenson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1144636051
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameSHERIDAN MEMORIAL HOME
Location Address610 SOUTH MAINMcclusky, ND 58463-0350
Mailing AddressPo Box 350, 610 South MainMcclusky, ND 58463-0350 · (701) 363-2203 · Fax (701) 363-2718
Phone(701) 363-2203
Fax(701) 363-2718
Organization SubpartNo
Authorized OfficialTheresa Ann JorgensonAdministrator · (701) 363-2203
Enumeration DateJuly 11, 2014
✔ NPI 1144636051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
610 SOUTH MAIN, Mcclusky, ND 58463
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Other Names 1

Former Legal Business NameTheresa Jorgenson

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 35D1004544

Sheridan Memorial Home · Mcclusky, ND
Expired · Sep 29, 2026
CLIA Number35D1004544
Laboratory TypeOther
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorMelissa A. Axt
Laboratory Phone(701) 363-2703
Laboratory LocationSheridan Memorial Home610 Main St S, Mcclusky, ND 58463
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Sheridan Memorial Home's NPI number?

The NPI number for Sheridan Memorial Home is 1144636051. It was assigned to this organization in the NPPES registry on July 11, 2014. The provider was formerly known as Theresa Jorgenson.

Where is Sheridan Memorial Home located?

Sheridan Memorial Home is located at 610 South Main, Mcclusky, ND 58463. The listed phone number is (701) 363-2203.

What is Sheridan Memorial Home's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Sheridan Memorial Home was last updated on July 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.