Provider Demographics
NPI:1336146620
Name:BRITTON HEALTHCARE, LLC
Entity Type:Organization
Organization Name:BRITTON HEALTHCARE, LLC
Other - Org Name:WHEATCREST HILLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-448-2251
Mailing Address - Street 1:PO BOX 939
Mailing Address - Street 2:1311 VANDER HORCK
Mailing Address - City:BRITTON
Mailing Address - State:SD
Mailing Address - Zip Code:57430-0939
Mailing Address - Country:US
Mailing Address - Phone:605-448-2251
Mailing Address - Fax:605-448-5583
Practice Address - Street 1:1311 VANDER HORCK
Practice Address - Street 2:
Practice Address - City:BRITTON
Practice Address - State:SD
Practice Address - Zip Code:57430-2254
Practice Address - Country:US
Practice Address - Phone:605-448-2251
Practice Address - Fax:605-448-5583
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MISSION HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-01
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD10599313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0160600Medicaid
SD9572562OtherMEDICAID ASST LVG/WAIVER
SD9572562OtherMEDICAID ASST LVG/WAIVER