Provider Demographics
NPI:1780976548
Name:CARE CONCEPTS, LLC
Entity type:Organization
Organization Name:CARE CONCEPTS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEZLIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SNOOZY-KAITFORS
Authorized Official - Suffix:
Authorized Official - Credentials:GCMC
Authorized Official - Phone:605-723-3000
Mailing Address - Street 1:10905 SOURDOUGH RD
Mailing Address - Street 2:
Mailing Address - City:BELLE FOURCHE
Mailing Address - State:SD
Mailing Address - Zip Code:57717
Mailing Address - Country:US
Mailing Address - Phone:605-723-3000
Mailing Address - Fax:605-723-3001
Practice Address - Street 1:10905 SOURDOUGH RD
Practice Address - Street 2:
Practice Address - City:BELLE FOURCHE
Practice Address - State:SD
Practice Address - Zip Code:57717-6117
Practice Address - Country:US
Practice Address - Phone:605-723-3000
Practice Address - Fax:605-723-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD61655310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility