OrganizationActive
Channel Assisted Living LLC
NPI 1093204398 · Assisted Living Facility · Bryant, SD
Channel Assisted Living LLC is a Assisted Living Facility organization in Bryant, SD (NPI 1093204398).
Provider details
- NPI number
- 1093204398
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Wade Johnson, Owner(605) 520-5469
- License
- 41812 (SD)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
410 S Broadway St
Bryant, SD 57221-2055
Phone: (605) 628-2155
Street-level locationGet directions
Mailing address
Po Box 278
Bryant, SD 57221-0278
Registry dates
- Enumerated
- 2018-05-02
- Last updated
- 2018-05-02
Frequently asked questions
- What is Channel Assisted Living LLC's NPI number?
- Channel Assisted Living LLC's National Provider Identifier (NPI) is 1093204398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Channel Assisted Living LLC?
- Channel Assisted Living LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Channel Assisted Living LLC located?
- Channel Assisted Living LLC's practice location on file with NPPES is 410 S Broadway St, Bryant, SD 57221-2055.
- What is Channel Assisted Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Channel Assisted Living LLC is (605) 628-2155.
- Who is the authorized official for Channel Assisted Living LLC?
- The authorized official listed on Channel Assisted Living LLC's NPPES record is Wade Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Channel Assisted Living LLC's NPI active?
- Yes — Channel Assisted Living LLC's NPI (1093204398) is active in the NPPES registry as of the last update on 2018-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.