# HOMESTEAD ASSISTED LIVING. LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Homestead Assisted Living, The Homestead Assisted Living. LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164602462
- **Authorized official:** JOLENE JOHNSON (ADMINISTRATOR)
- **Authorized official phone:** (605) 785-3310

## Contact information

- **Practice address:** 802 1ST AVE S, LAKE NORDEN, SD 57248
- **Practice address phone:** (605) 785-3310
- **Practice address fax:** (605) 785-3320
- **Mailing address:** P.O. BOX 229, 802 1ST AVE S, LAKE NORDEN, SD 57248
- **Mailing address phone:** (605) 785-3310
- **Mailing address fax:** (605) 785-3320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 11072 | SD | Yes |

## Other

- **Enumeration date:** 11/05/2007
- **Last updated:** 06/09/2025
