Paradise Pines Llc in Rapid City - Assisted Living Facility
Paradise Pines Llc - NPI 1811180565
Paradise Pines Llc is a Assisted Living Facility in Rapid City, South Dakota. Paradise Pines Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Paradise Pines Llc is 1811180565. The last update date is 2007-08-24.
Paradise Pines Llc's current location address is 4110 Winfield Street, Rapid City, South Dakota. You can contact this provider via phone number 6053482596 and fax number 6053424119. The mailing address for Paradise Pines Llc is 4110 Winfield Street, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Paradise Pines Llc |
|---|---|
| Address | 4110 Winfield Street, Rapid City, South Dakota |
| Phone Number | 6053482596 |
| Fax Number | 6053424119 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER FOR |
|---|---|
| Authorized Official Name | Zandstra Kay Janice |
| Credentials | BSN RN |
| Telephone Number | 6053422385 |
NPI Number Detail
| NPI Number | 1811180565 |
|---|---|
| Provider Enumeration Date | 2007-08-24 |
| Last Updated Date | 2007-08-24 |
Provider Mailing Address Detail
| Address | 4110 Winfield Street |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 57701 |
| Phone Number | 6053482596 |
| Fax Number | 6053424119 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 51260 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9571202 | SD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Paradise Pines Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Paradise Pines Llc has been assigned the NPI (National Provider Identifier) 1811180565. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Paradise Pines Llc?
The Paradise Pines Llc is situated at 4110 Winfield Street, in the city of Rapid City, state of SD, with the zip code 57701.
What is the Paradise Pines Llc's specialty and taxonomy code?
The Paradise Pines Llc's specialty is Assisted Living Facility, and the corresponding taxonomy code is 310400000X.
On what date did the Paradise Pines Llc receive the assignment of its 1811180565 from the Centers for Medicare & Medicaid Services?
The Paradise Pines Llc was issued its 1811180565 by the Centers for Medicare & Medicaid Services on 2007-08-24.
As of what date were the details related to Paradise Pines Llc most recently updated or revised?
The information pertaining to Paradise Pines Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-24.