Provider Demographics
NPI:1295174332
Name:HUDSON CARE AND REHAB CENTER LLC
Entity type:Organization
Organization Name:HUDSON CARE AND REHAB CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:STROSCHEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-670-9855
Mailing Address - Street 1:720 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:SD
Mailing Address - Zip Code:57034
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:720 PARKWAY
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:SD
Practice Address - Zip Code:57034
Practice Address - Country:US
Practice Address - Phone:605-984-2244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD65982310400000X
SD10632314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0150250Medicaid
SD435131Medicare Oscar/Certification