PH
PARKSIDE HOME
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
LISBON, ND
Licensed since
2005
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1487658324
CMS Certification Number (CCN)355116
Agency details
Avg residents / day36.4
OwnershipNon profit - Corporation
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameWAYNE HENDRICKSON
TitleADMINISTRATOR
Phone7016835239
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Source: NPI Registry · Last refreshed June 24, 2026