MEADOW LAKE ASSISTED LIVING
NPI 1992975627
Assisted Living Facility in Watertown, SD

Q: What is Meadow Lake Assisted Living's NPI number?

The NPI number for Meadow Lake Assisted Living is 1992975627. It was assigned to this organization in the NPPES registry on March 10, 2008.

Q: What is Meadow Lake Assisted Living's specialty?

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

Active since March 10, 2008

17444 MEADOW LAKE RD, WATERTOWN, SD 57201(605) 882-4388(605) 882-4388 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Meadow Lake Assisted Living NPPES

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

MEADOW LAKE ASSISTED LIVING (NPI 1992975627) is a healthcare organization registered as an assisted living facility in Watertown, South Dakota and active in the NPI registry since March 2008. The organization lists Emil Wiese, Owner, as its authorized official.

NPPES Registry Identity

NPI1992975627

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMEADOW LAKE ASSISTED LIVING

Location Address17444 MEADOW LAKE RDWatertown, SD 57201-9181

Mailing Address17444 Meadow Lake RdWatertown, SD 57201-9181 · (605) 882-4388 · Fax (605) 882-4388

Phone(605) 882-4388

Fax(605) 882-4388

Organization SubpartNo

Authorized OfficialEmil WieseOwner · (605) 882-4388

Enumeration DateMarch 10, 2008

✔ NPI 1992975627 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 · 10727

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.

17444 MEADOW LAKE RD, Watertown, SD 57201

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Other Identifiers 1

Medicaid9570730SD

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.

MBK INC

Health Maintenance Organization

17444 MEADOW LAKE RD
WATERTOWN, SD 57201

Codington County (605) 882-4388

JOYCE WENDEL

Assisted Living Facility

17444 MEADOW LAKE RD
WATERTOWN, SD 57201

Codington County (605) 882-4388

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 Meadow Lake Assisted Living's NPI number?

The NPI number for Meadow Lake Assisted Living is 1992975627. It was assigned to this organization in the NPPES registry on March 10, 2008.

Where is Meadow Lake Assisted Living located?

Meadow Lake Assisted Living is located at 17444 Meadow Lake Rd, Watertown, SD 57201. The listed phone number is (605) 882-4388.

What is Meadow Lake Assisted Living'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 Meadow Lake Assisted Living was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.