GARRETSON HEALTHCARE, LLC — NPI 1922107887 (Licensed & Credentialed Nursing Home Administrator in GARRETSON, SD)

CMS-1500 Box 24J / 33a • NPI

1922107887

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

376G00000X

Licensed & Credentialed Nursing Home Administrator

Box 32 Service Location & ZIP+4

920 4TH ST, GARRETSON, SD, 57030-2006

✓ 9-Digit EDI 837 ZIP+4 (57030-2006)

Practice Phone & Referral Fax

(605) 594-3466

Fax: (605) 594-6661

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1922107887 (GARRETSON HEALTHCARE, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1922107887` (NPI-2 Organization / Facility)
Provider / Legal Name	GARRETSON HEALTHCARE, LLC
Plain-English Specialty	Licensed & Credentialed Nursing Home Administrator NUCC Code: `376G00000X` (Nursing Home Administrator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	920 4TH ST, GARRETSON, SD, 57030-2006
Practice Telephone / Fax	Tel: (605) 594-3466 \| Fax: (605) 594-6661
Administrative Mailing Address	920 4TH ST, GARRETSON, SD, 57030-2006
Enumeration & Last Sync	Enumerated: 2006-09-21 \| CMS Record Updated: 2013-03-18
Authorized Official	MEREDITH FISHER (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

920 4TH ST, GARRETSON, SD, 57030-2006

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Plain-English Taxonomy & CMS Crosswalk (376G00000X)

What Does Taxonomy Code 376G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 376G00000X translates to:
"Licensed & Credentialed Nursing Home Administrator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nursing Home Administrator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GARRETSON HEALTHCARE, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`313M00000X` — Nursing Facility/Intermediate Care Facility Plain English: Licensed & Credentialed Nursing and Custodial Care Facilities — Nursing Facility	State: SD \| License: `10623` \| Primary: Secondary
`310400000X` — Assisted Living Facility Plain English: Licensed & Credentialed Assisted Living Facility	State: SD \| License: `58297` \| Primary: Secondary
`314000000X` — Skilled Nursing Facility Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)	State: SD \| License: `10623` \| Primary: Secondary
`376G00000X` — Nursing Home Administrator Plain English: Licensed & Credentialed Nursing Home Administrator	State: SD \| License: `10623 Skilled Nursin` \| Primary: Yes (Primary)

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GARRETSON HEALTHCARE, LLC (NPI #1922107887)