Clark City Sd Skilled Nursing Facility LLC
NPI 1649836164ActiveOrganization· Skilled Nursing Facility· Clark, SD
Skilled Nursing Facility in Clark, South Dakota, registered in NPPES in May 2019. The authorized official on file is Menachem Shabat, Coo/Principal. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1649836164 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2019 |
| Last updated in NPPES | May 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
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) | Enrolled Part A Provider - Skilled Nursing Facility (SD) |
|---|
Other Skilled Nursing Facility providers in Clark
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