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KADOKA NURSING HOME ASS.
NPI 1770780140
Nursing Facility/Intermediate Care Facility in Kadoka, SD

Active since June 29, 2007CLIA 43D0996630 · Waiver
103 MAPLE ST, W, KADOKA, SD 57543(605) 837-2270(605) 837-2201 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kadoka Nursing Home Ass. NPPES

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

KADOKA NURSING HOME ASS. (NPI 1770780140) is a healthcare organization registered as a nursing facility/intermediate care facility in Kadoka, South Dakota and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Ruby M Sanftner, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1770780140
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameKADOKA NURSING HOME ASS.
Location Address103 MAPLE ST, WKadoka, SD 57543-0310
Mailing Address103 Maple St, W, P.o.box 310Kadoka, SD 57543-0310 · (605) 837-2270 · Fax (605) 837-2201
Phone(605) 837-2270
Fax(605) 837-2201
Organization SubpartNo
Authorized OfficialRuby M SanftnerChief Operating Officer · (605) 837-2270
Enumeration DateJune 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770780140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in SD · 10637
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
103 MAPLE ST, W, Kadoka, SD 57543
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Other Identifiers 1

Medicaid0160290SD

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 43D0996630

Kadoka Nursing Home · Kadoka, SD
Active · expires Jan 18, 2028
CLIA Number43D0996630
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorHeidi Coller
Laboratory Phone(605) 837-2270
Laboratory LocationKadoka Nursing HomePost Office Box 310 605 Maple Street W, Kadoka, SD 57543
CLIA data matches this NPI record on: Name Phone
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 Kadoka Nursing Home Ass.'s NPI number?

The NPI number for Kadoka Nursing Home Ass. is 1770780140. It was assigned to this organization in the NPPES registry on June 29, 2007.

Where is Kadoka Nursing Home Ass. located?

Kadoka Nursing Home Ass. is located at 103 Maple St, W, Kadoka, SD 57543. The listed phone number is (605) 837-2270.

What is Kadoka Nursing Home Ass.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Kadoka Nursing Home Ass. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D0996630) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kadoka Nursing Home Ass. 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.