Spearfish Healthcare, LLC
NPI 1174555858ActiveOrganization· Skilled Nursing Facility· Spearfish, SD
Skilled Nursing Facility in Spearfish, South Dakota, registered in NPPES in July 2006, part of Mission Healthcare, LLC. The authorized official on file is Thomas E. Boerboom, Chief Operating Officer.
Overview
| NPI | 1174555858 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mission Healthcare, LLC |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Apr 14, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 10686 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Skilled Nursing Facility providers in Spearfish
- 1366369290
- 1417420555